MEGAN MARIE LIDTKE
NPI 1245194455
Physician Assistant in Coon Rapids, MN

Active since December 11, 2025PECOS EnrolledAccepts Medicare Assignment
4040 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 55433(763) 427-9980 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Megan Marie Lidtke NPPES

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

MEGAN MARIE LIDTKE (NPI 1245194455) is an individual physician assistant in Coon Rapids, Minnesota and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2025).

NPPES Registry Identity

NPI1245194455
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN MARIE LIDTKE
Location Address4040 COON RAPIDS BLVD NW STE 120Coon Rapids, MN 55433-4568
Mailing Address15914 Linnet St NwAndover, MN 55304-2563
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2025
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
NPI 1245194455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

4040 COON RAPIDS BLVD NW STE 120, Coon Rapids, MN 55433

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

Megan Marie Lidtke 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 ID2961980248
PECOS Enrollment IDI20260128003339
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 55433 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 20

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

Physician Assistant
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Physician Assistant
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Internal Medicine (Clinical Cardiac Electrophysiology)
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Nurse Practitioner
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Physician Assistant
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Nurse Practitioner
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW STE 120
MINNEAPOLIS, MN 55433

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 Megan Lidtke's NPI number?

The NPI number for Megan Lidtke is 1245194455. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Megan Lidtke located?

Megan Lidtke practices at 4040 Coon Rapids Blvd NW Ste 120, Coon Rapids, MN 55433. The listed phone number is (763) 427-9980.

What is Megan Lidtke's specialty?

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

Is Megan Lidtke enrolled in Medicare?

Yes. Megan Lidtke 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.

When was this NPI record last updated?

The NPPES record for Megan Lidtke was last updated on December 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.