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LISA ANNETTE LUBBERS CNP
NPI 1093838963
Nurse Practitioner in St Louis Park, MN

Active since April 07, 2007PECOS EnrolledAccepts Medicare Assignment
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426(952) 993-5000 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Annette Lubbers Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANNETTE LUBBERS CNP (NPI 1093838963) is an individual nurse practitioner in St Louis Park, Minnesota, licensed in Minnesota (CNP1136) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sioux Falls, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1093838963
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA ANNETTE LUBBERSCredential: CNP
Location Address6500 EXCELSIOR BLVDSt Louis Park, MN 55426-4702
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 7, 2007
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1093838963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · CNP1136
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License R160724-0 (MN), CP000374 (SD)
6500 EXCELSIOR BLVD, St Louis Park, MN 55426
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Other Names 1

Former Name (1)Lisa Annette Rolling

Secondary Practice Location 1

Location 11305 W 18th StSioux Falls, SD 57105-0401 · Phone (605) 328-3000 · Fax (605) 328-3001

Other Identifiers 7

OtherR 160724-0MN · Mn Rn
OtherR0287659SD · Rn License
OtherLUB1-0430-2308SD · Ncc Id
Medicaid6829300SD
Other9254403SD · Dakotacare
Other4993173SD · Wellmark
OtherCP000374SD · Cnp License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare, Wellmark Health Plan of Iowa, Inc..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

Lisa Annette Lubbers Cnp 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.

PECOS PAC ID7911979992
PECOS Enrollment IDI20260123001321
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Lisa Lubbers reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Nicollet Methodist Hospital
0.8 mi
General Acute Care Hospital
3900 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Park Nicollet Clinic
  • 2,527 clinicians in this Medicare group
NPI 1194113217 (952) 993-1953
Fairview Express Care
3.5 mi
Family Medicine
6363 FRANCE AVE S, SUITE 103
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1538542204 (952) 924-5053
Fairview Health Services
3.5 mi
General Acute Care Hospital
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1699752915 (952) 924-5000
Healtheast Medical Research Institute
9.5 mi
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1508191552 (651) 232-2273
Unmc Physicians
288 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739

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 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NANCY COLE NELSON M.D.
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3282
DR. KATIE LYNN ANDRINAS MD, MPH
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3282
CARA HOULE MD
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5000
JANET GRAYSON MD
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6600
JEFFREY J SHULTZ
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3246
MARY BETH JOHNSON OTR/L
Occupational Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6087
MARY KATHERINE KOSANDA P.T.
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6014
JENNIFER A DEUTZ P.T.
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5900

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 Lisa Lubbers's NPI number?

The NPI number for Lisa Lubbers is 1093838963. It was assigned to this individual provider in the NPPES registry on April 7, 2007. The provider is also known as Lisa Annette Rolling.

Where is Lisa Lubbers located?

Lisa Lubbers practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5000.

What is Lisa Lubbers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Lubbers enrolled in Medicare?

Yes. Lisa Lubbers 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 organizations bill Medicare for Lisa Lubbers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lubbers reassigns Medicare benefits to 5 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN), Fairview Express Care (Edina, MN), Fairview Health Services (Edina, MN), Healtheast Medical Research Institute (Saint Paul, MN) and Unmc Physicians (Omaha, NE). Each 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 Lisa Lubbers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Lubbers accept?

Health plans from Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Lisa Lubbers 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 Lisa Lubbers was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.