KRISTY JORDAN LICHTENBERG PA
NPI 1134637986
Physician Assistant in St Paul, MN

Active since January 15, 2018PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
225 SMITH AVE N, STE 200, ST PAUL, MN 55102(651) 241-5111(651) 241-5512 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2023, May 22, 2023, Jan 17, 2019 and 1 more (4 updates tracked since 2018).

About Kristy Jordan Lichtenberg Pa NPPES

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

KRISTY JORDAN LICHTENBERG PA (NPI 1134637986) is an individual physician assistant in St Paul, Minnesota, licensed in Minnesota (12632) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134637986
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTY JORDAN LICHTENBERGCredential: PA
Location Address225 SMITH AVE N, STE 200St Paul, MN 55102-2697
Mailing Address2925 Chicago AvenueMinneapolis, MN 55407-1321 · (612) 262-5000
Fax(651) 241-5512
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 15, 2018
Last NPPES UpdateDecember 14, 20234 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
NPI 1134637986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 12632
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
225 SMITH AVE N, St Paul, MN 55102

Secondary Practice Locations 2

Location 16565 France Ave S Ste 375Edina, MN 55435-2141 · Phone (651) 312-1700
Location 21415 Lilac Dr N Ste 190Golden Valley, MN 55422-4544 · Phone (763) 267-8701 · Fax (763) 231-9602

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

Kristy Jordan Lichtenberg 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.

PECOS PAC ID4587926704
PECOS Enrollment IDI20180327001984
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers29 claims750 services$4.71 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388
DME-Orthotic Devices · category DF010N
1 supplier13 claims270 services$3.44 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers22 claims402 services$2.46 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers11 claims200 services$7.63 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims800 services$0.23 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers13 claims240 services$2.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinical Nurse Specialist (Adult Health)
225 SMITH AVE N, SUITE 300
SAINT PAUL, MN 55102
Nurse Practitioner (Adult Health)
225 SMITH AVE N, #400
SAINT PAUL, MN 55102
Registered Nurse
225 SMITH AVE N
SAINT PAUL, MN 55102
Respiratory Therapist, Registered (Pulmonary Rehabilitation)
225 SMITH AVE N, SUITE 301
SAINT PAUL, MN 55102
Technician, Cardiology
225 SMITH AVE N, #500
ST PAUL, MN 55102
General Practice
225 SMITH AVE N, STE 300
ST PAUL, MN 55102
Surgery (Vascular Surgery)
225 SMITH AVE N, STE. 400
SAINT PAUL, MN 55102
Nurse Practitioner (Adult Health)
225 SMITH AVE N, #400
SAINT PAUL, MN 55102

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 Kristy Lichtenberg's NPI number?

The NPI number for Kristy Lichtenberg is 1134637986. It was assigned to this individual provider in the NPPES registry on January 15, 2018.

Where is Kristy Lichtenberg located?

Kristy Lichtenberg practices at 225 Smith Ave N Ste 200, St Paul, MN 55102. The listed phone number is (651) 241-5111.

What is Kristy Lichtenberg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristy Lichtenberg enrolled in Medicare?

Yes. Kristy Lichtenberg 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 Kristy Lichtenberg accept?

Health plans from HealthPartners and Medica list Kristy Lichtenberg 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 Kristy Lichtenberg affiliated with any hospitals?

According to CMS data, Kristy Lichtenberg is affiliated with Allina United Hospital, Abbott Northwestern Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Kristy Lichtenberg was last updated on December 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.