DR. JOHN LICHTSINN M.D.
NPI 1063739266
Psychiatry & Neurology - Psychiatry in Spring Lake Park, MN
About Dr. John Lichtsinn M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN LICHTSINN M.D. (NPI 1063739266) is an individual psychiatry provider in Spring Lake Park, Minnesota, licensed in Minnesota (55108) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mendota Heights, and is a graduate of University Of Minnesota Medical School (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Lichtsinn M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Lichtsinn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRING LAKE PARK, MN 55432
SPRING LAKE PARK, MN 55432
SPRING LAKE PARK, MN 55432
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Lichtsinn's NPI number?
The NPI number for John Lichtsinn is 1063739266. It was assigned to this individual provider in the NPPES registry on April 27, 2010.
Where is John Lichtsinn located?
John Lichtsinn practices at 7766 Highway 65 NE, Spring Lake Park, MN 55432. The listed phone number is (763) 205-4843.
What is John Lichtsinn's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is John Lichtsinn enrolled in Medicare?
Yes. John Lichtsinn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Lichtsinn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Lichtsinn reassigns Medicare benefits to Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Lichtsinn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Lichtsinn accept?
Health plans from HealthPartners list John Lichtsinn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Lichtsinn was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John Lichtsinn, M.D. · NPI 1063739266
Psychiatry physician in Spring Lake Park, Minnesota. Individual provider, active in the CMS NPPES registry since April 27, 2010.
## Identity
- **NPI:** 1063739266 (Entity type: Individual)
- **Enumerated:** April 27, 2010
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 55108 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7766 HIGHWAY 65 NE, Spring Lake Park, MN 55432-2832
- **Phone:** (763) 205-4843 · **Fax:** (612) 416-2085
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother (NPI 1528726775, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2010
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063739266) · Data from the CMS NPPES public registry.