LYDIA J PAULSON
NPI 1144094301
Nurse Practitioner - Family in Winona, MN

Q: What is Lydia Paulson's NPI number?

The NPI number for Lydia Paulson is 1144094301. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Q: What is Lydia Paulson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Paulson was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 08, 2023PECOS EnrolledAccepts Medicare Assignment

855 MANKATO AVE, WINONA, MN 55987(507) 454-3650 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lydia J Paulson NPPES

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

LYDIA J PAULSON (NPI 1144094301) is an individual family provider in Winona, Minnesota, licensed in Minnesota (F10230807) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Winona Health Services, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144094301

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLYDIA J PAULSON

Location Address855 MANKATO AVEWinona, MN 55987-4868

Mailing Address855 Mankato AveWinona, MN 55987-4868 · (507) 454-5540

Phone(507) 454-3650

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 8, 2023

NPPES CertifiedOctober 25, 2023

✔ NPI 1144094301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · F10230807

855 MANKATO AVE, Winona, MN 55987

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Quartz, Security Health Plan.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 J Paulson 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 ID3375989056

PECOS Enrollment IDI20240316000374

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.

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.

222 services179 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

70 services70 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services58 patients

Hospital Affiliations CMS Care Compare

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

Winona Health Services

Acute Care Hospitals · Winona, MN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240044

Location855 Mankato AvenueWinona, MN 55987 · Winona County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55987 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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 20

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

LAURA ANN TRAUTLEIN PA-C

Physician Assistant