DR. LISA MARIE ANDERSON PHD
NPI 1114504123
Psychologist - Clinical in St Louis Park, MN
About Dr. Lisa Marie Anderson Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA MARIE ANDERSON PHD (NPI 1114504123) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (LP6534) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Lisa Marie Anderson Phd 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
MINNEAPOLIS, MN 55416
MINNEAPOLIS, MN 55416
MINNEAPOLIS, MN 55416
ST LOUIS PARK, MN 55416
MINNEAPOLIS, MN 55416
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 Anderson's NPI number?
The NPI number for Lisa Anderson is 1114504123. It was assigned to this individual provider in the NPPES registry on March 25, 2021.
Where is Lisa Anderson located?
Lisa Anderson practices at 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416. The listed phone number is (952) 525-4500.
What is Lisa Anderson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Lisa Anderson enrolled in Medicare?
Yes. Lisa Anderson 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.
What insurance does Lisa Anderson accept?
Health plans from Sanford Health Plan list Lisa Anderson 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 Anderson was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Lisa Marie Anderson, PHD · NPI 1114504123
Clinical provider in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since March 25, 2021.
## Identity
- **NPI:** 1114504123 (Entity type: Individual)
- **Enumerated:** March 25, 2021
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** LP6534 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5775 WAYZATA BLVD STE 255, St Louis Park, MN 55416-1275
- **Phone:** (952) 525-4500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114504123) · Data from the CMS NPPES public registry.