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DR. LISA ANN MINNICH M.D.
NPI 1245294966
Pediatrics - Neonatal-Perinatal Medicine in Richardson, TX

Active since April 12, 2006PECOS Enrolled
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082(214) 343-6663(214) 343-2814 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa Ann Minnich M.d. NPPES

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

DR. LISA ANN MINNICH M.D. (NPI 1245294966) is an individual neonatal-perinatal medicine provider in Richardson, Texas, licensed in Texas (K6891) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245294966
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. LISA ANN MINNICHCredential: M.D.
Location Address3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250Richardson, TX 75082-3542
Mailing Address3001 George Bush Hwy, Suite 250Richardson, TX 75082-3542 · (214) 343-6663 · Fax (214) 343-2814
Phone(214) 343-6663
Fax(214) 343-2814
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1245294966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in TX · K6891✔ Licensed in OH · 35-06-5334
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3001 E PRESIDENT GEORGE BUSH HWY, Richardson, TX 75082
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Other Identifiers 2

Medicaid0104210OH
Medicare UPING82109TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Ann Minnich M.d. 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.

Medicare Billing Reassignment

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

Magella Medical Associates Billing, Inc.
182 mi
Neonatal-Perinatal Medicine
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
NPI 1083631071 (512) 341-1000

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

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.

MICHAEL D STANLEY M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250
RICHARDSON, TX 75082
Dallas County (972) 437-5099
IAN MARK RATNER M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250
RICHARDSON, TX 75082
Dallas County (214) 343-6663
MRS. CHRISTINA FREDERIKE ULLRICH RNC, MSN, NNP
Nurse Practitioner (Neonatal)
3001 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
Dallas County (972) 437-5196
MS. ELISABETH F HOLLAND RNC, NNP
Nurse Practitioner (Neonatal, Critical Care)
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250
RICHARDSON, TX 75082
Dallas County (972) 437-5099
SARAH THOMAS RNC, MSN, NNP
Nurse Practitioner (Neonatal, Critical Care)
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250
RICHARDSON, TX 75082
Dallas County (888) 822-2855
MRS. DEBORAH GRAY FLETCHER RNC NNP
Nurse Practitioner (Neonatal, Critical Care)
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250
RICHARDSON, TX 75082
Dallas County (972) 437-5099
DR. RICHARD A. DEULOFEUT M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250
RICHARDSON, TX 75082
Dallas County (972) 437-5099
EMILY CECELIA LATIOLAIS NNP
Nurse Practitioner (Neonatal)
3001 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
Dallas County (214) 343-6663

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 Minnich's NPI number?

The NPI number for Lisa Minnich is 1245294966. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Lisa Minnich located?

Lisa Minnich practices at 3001 E President George Bush Hwy Suite 250, Richardson, TX 75082. The listed phone number is (214) 343-6663.

What is Lisa Minnich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Lisa Minnich enrolled in Medicare?

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

Which organization bills Medicare for Lisa Minnich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Minnich reassigns Medicare benefits to Magella Medical Associates Billing, Inc. (Round Rock, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Minnich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Minnich accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Lisa Minnich 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 Minnich was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.