LISA R HARDESTY PHD
NPI 1154305126
Psychologist - Clinical in North Mankato, MN

Q: What is Lisa Hardesty's NPI number?

The NPI number for Lisa Hardesty is 1154305126. It was assigned to this individual provider in the NPPES registry on December 2, 2005. The provider is also known as Lisa R Clemensen.

Q: What is Lisa Hardesty's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Hardesty was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 02, 2005PECOS EnrolledAccepts Medicare Assignment

1695 LOR RAY DR, NORTH MANKATO, MN 56003(507) 387-8231 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2020, Nov 29, 2017 (2 updates tracked since 2017).

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About Lisa R Hardesty Phd NPPES

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

LISA R HARDESTY PHD (NPI 1154305126) is an individual clinical provider in North Mankato, Minnesota, licensed in Minnesota (LP3904) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1154305126

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLISA R HARDESTYCredential: PHD

Location Address1695 LOR RAY DRNorth Mankato, MN 56003-2804

Mailing Address1025 Marsh StMankato, MN 56001-4752 · (507) 625-4031

Phone(507) 387-8231

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateDecember 2, 2005

Last NPPES UpdateSeptember 18, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1154305126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP3904

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 3904 (MN)

1695 LOR RAY DR, North Mankato, MN 56003

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Other Names 1

Former Name (1)Lisa R Clemensen

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa R Hardesty Phd 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 ID6901807601

PECOS Enrollment IDI20070124000017

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Hardesty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Health System-Southwest Minnesota Region

2.7 mi

Multi-Specialty

1025 MARSH ST
Mankato, MN 56001

Reassigned Medicare billing, Minnesota enrollment
1,572 clinicians in this Medicare group

NPI 1578545422 (507) 625-4031

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56003 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

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 12

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

ABDIFATAH ABDULLAHI AHMED MD

Family Medicine