DR. LISA KATHLEEN AMUNDSON DDS
NPI 1134317712
Dentist - General Practice in Cottage Grove, MN

Active since October 09, 2007PECOS Enrolled
6939 PINE ARBOR DR S, SUITE A104, COTTAGE GROVE, MN 55016(651) 459-3514 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lisa Kathleen Amundson Dds NPPES

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

DR. LISA KATHLEEN AMUNDSON DDS (NPI 1134317712) is an individual general practice provider in Cottage Grove, Minnesota, licensed in Minnesota (D12460) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134317712
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA KATHLEEN AMUNDSONCredential: DDS
Location Address6939 PINE ARBOR DR S, SUITE A104Cottage Grove, MN 55016-4580
Mailing Address6939 Pine Arbor Dr S, Suite A104Cottage Grove, MN 55016-4580 · (651) 459-3514
Sole ProprietorNo
Enumeration DateOctober 9, 2007
NPI 1134317712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D12460
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6939 PINE ARBOR DR S, Cottage Grove, MN 55016

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 (PECOS)

Dr. Lisa Kathleen Amundson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55016 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
6939 PINE ARBOR DR S, STE 104
COTTAGE GROVE, MN 55016

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 Amundson's NPI number?

The NPI number for Lisa Amundson is 1134317712. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Lisa Amundson located?

Lisa Amundson practices at 6939 Pine Arbor Dr S Suite A104, Cottage Grove, MN 55016. The listed phone number is (651) 459-3514.

What is Lisa Amundson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lisa Amundson enrolled in Medicare?

Yes. Lisa Amundson is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Amundson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Lisa Amundson 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 Amundson was last updated on October 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.