LYDIA MARIE VETSCH
NPI 1124703814
Student in an Organized Health Care Education/Training Program in Buffalo, MN

Q: What is Lydia Vetsch's NPI number?

The NPI number for Lydia Vetsch is 1124703814. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Q: What is Lydia Vetsch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Vetsch was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 20, 2023PECOS EnrolledAccepts Medicare Assignment

1700 HIGHWAY 25 N, BUFFALO, MN 55313(763) 682-1313(763) 581-9090 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Jun 20, 2023 (2 updates tracked since 2023).

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About Lydia Marie Vetsch NPPES

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

LYDIA MARIE VETSCH (NPI 1124703814) is an individual student in an organized health care education/training program in Buffalo, Minnesota and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Monticello, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124703814

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLYDIA MARIE VETSCH

Location Address1700 HIGHWAY 25 NBuffalo, MN 55313-1930

Mailing Address1700 Highway 25 NBuffalo, MN 55313-1930 · (763) 682-1313 · Fax (763) 581-9090

Phone(763) 682-1313

Fax(763) 581-9090

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 20, 2023

Last NPPES UpdateJune 25, 20252 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1124703814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1700 HIGHWAY 25 N, Buffalo, MN 55313

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Secondary Practice Location 1

Location 12531 Eastwood LnMonticello, MN 55362-9556 · Phone (763) 496-8616

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Lydia Marie Vetsch 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 ID7911429774

PECOS Enrollment IDI20250320003754

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.

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.

DR. CYNTHIA LARSON MD

Internal Medicine