JORDYN MARISA LIRA PA
NPI 1124526462
Physician Assistant in Cambridge, MN
About Jordyn Marisa Lira Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDYN MARISA LIRA PA (NPI 1124526462) is an individual physician assistant in Cambridge, Minnesota, licensed in Minnesota (15242) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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
Jordyn Marisa Lira Pa 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cambridge Medical Center
Acute Care Hospitals · Cambridge, MNAbbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55008 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.
CAMBRIDGE, MN 55008
CAMBRIDGE, MN 55008
CAMBRIDGE, MN 55008
CAMBRIDGE, MN 55008
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 Jordyn Lira's NPI number?
The NPI number for Jordyn Lira is 1124526462. It was assigned to this individual provider in the NPPES registry on January 31, 2018. The provider is also known as Jordyn Marisa Peterson Atc/Lat, PA.
Where is Jordyn Lira located?
Jordyn Lira practices at 701 Dellwood St S, Cambridge, MN 55008. The listed phone number is (763) 689-8700.
What is Jordyn Lira's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jordyn Lira enrolled in Medicare?
Yes. Jordyn Lira 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 Jordyn Lira accept?
Health plans from HealthPartners and Medica list Jordyn Lira 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.
Is Jordyn Lira affiliated with any hospitals?
According to CMS data, Jordyn Lira is affiliated with Cambridge Medical Center and Abbott Northwestern Hospital.
When was this NPI record last updated?
The NPPES record for Jordyn Lira was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jordyn Marisa Lira, PA · NPI 1124526462
Physician Assistant physician in Cambridge, Minnesota. Individual provider, active in the CMS NPPES registry since January 31, 2018.
## Identity
- **NPI:** 1124526462 (Entity type: Individual)
- **Enumerated:** January 31, 2018
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 15242 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 701 DELLWOOD ST S, Cambridge, MN 55008-1920
- **Phone:** (763) 689-8700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124526462) · Data from the CMS NPPES public registry.