LISA STEPANOV - NPI 1508416215 - Nurse Practitioner in Saint Paul, MN

Q: What is Lisa Stepanov's NPI number?

The NPI number for Lisa Stepanov is 1508416215. It was assigned to this individual provider in the NPPES registry on September 14, 2019.

Q: What is Lisa Stepanov'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 Lisa Stepanov was last updated on August 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Stepanov NPPES

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

LISA STEPANOV (NPI 1508416215) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (6834) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508416215

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA STEPANOV

Location Address1300 UNIVERSITY AVE WSaint Paul, MN 55104-4103

Mailing Address1300 University Ave WSaint Paul, MN 55104-4103

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 14, 2019

Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration

NPPES CertifiedAugust 16, 2021

✔ NPI 1508416215 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 · 6834

1300 UNIVERSITY AVE W, Saint Paul, MN 55104

Open in Google Maps ↗

Secondary Practice Location 1

Location 11040 Grand AveSaint Paul, MN 55105-3001 · Phone (866) 389-2727

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Stepanov 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 ID2567896780

PECOS Enrollment IDI20191221000628

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 55104 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 9

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

DR. DAVID ANDREW SPANDE O.D.

Optometrist

1300 UNIVERSITY AVE W, OPTICAL CLINIC
SAINT PAUL, MN 55104

Ramsey County (651) 641-6181

TARA JEAN TINDALL PHARMD

Pharmacist