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DR. LISA THANH TIEU DNP, CNP
NPI 1265869606
Nurse Practitioner - Family in Saint Louis Park, MN

Active since October 01, 2013PECOS EnrolledAccepts Medicare Assignment
3850 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416(952) 993-3400 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa Thanh Tieu Dnp, Cnp NPPES

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

DR. LISA THANH TIEU DNP, CNP (NPI 1265869606) is an individual family provider in Saint Louis Park, Minnesota, licensed in Minnesota (215505-0) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Creighton University School Of Medicine (2013).

NPPES Registry Identity

NPI1265869606
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. LISA THANH TIEUCredential: DNP, CNP
Location Address3850 PARK NICOLLET BLVDSaint Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave S Apt 208aBloomington, MN 55425-4516
Phone(952) 993-3400
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2013
Enumeration DateOctober 1, 2013
Last NPPES UpdateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1265869606 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 · 215505-0
3850 PARK NICOLLET BLVD, Saint Louis Park, MN 55416
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15100 Gamble Dr, Suite 100St Louis Park, MN 55416-1521 · Phone (952) 541-2500 · Fax (952) 541-2539
Location 2205 Wabasha St SSaint Paul, MN 55107-1805 · Phone (651) 293-8100

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

Dr. Lisa Thanh Tieu Dnp, Cnp 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 ID1254567191
PECOS Enrollment IDI20131122001209
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 Reassignments

2

Medicare enrollment records show Lisa Tieu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Nicollet Methodist Hospital
Same address
General Acute Care Hospital
3900 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Park Nicollet Clinic
  • 2,527 clinicians in this Medicare group
NPI 1194113217 (952) 993-1953
Group Health, Inc.
2.3 mi
General Practice
5100 GAMBLE DR, STE 100
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1053466128 (952) 593-0779

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 55416 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.

ELISABETH JEAN MCCLEAN MD
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 883-1000
AMY VANDENBERG PA-C
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 883-1000
KELSEY WIDMYER ISRAELSON PA
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 883-1000
KARI MILLER
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3512
SARAH EVERT
Internal Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3025
DR. WAYNE D LIEBHARD M.D.
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3025
PATRICK MUELLER
Pediatrics
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3298
PARK NICOLLET HEALTH CARE PRODUCTS
Durable Medical Equipment & Medical Supplies
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-1330

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 Tieu's NPI number?

The NPI number for Lisa Tieu is 1265869606. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Lisa Tieu located?

Lisa Tieu practices at 3850 Park Nicollet Blvd, Saint Louis Park, MN 55416. The listed phone number is (952) 993-3400.

What is Lisa Tieu's specialty?

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

Is Lisa Tieu enrolled in Medicare?

Yes. Lisa Tieu 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.

Which organizations bill Medicare for Lisa Tieu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Tieu reassigns Medicare benefits to 2 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN) and Group Health, Inc. (St Louis Park, MN). Each 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 Tieu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Tieu was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.