LISA L DAVIDSON GNP
NPI 1568436939
Nurse Practitioner in Minneapolis, MN
About Lisa L Davidson Gnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA L DAVIDSON GNP (NPI 1568436939) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (855) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
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 L Davidson Gnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lisa Davidson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55407
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 2,274 clinicians in this Medicare group
Saint Paul, MN 55116
- Reassigned Medicare billing, Minnesota enrollment
- 62 clinicians in this Medicare group
Minneapolis, MN 55403
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Davidson's NPI number?
The NPI number for Lisa Davidson is 1568436939. It was assigned to this individual provider in the NPPES registry on February 14, 2006.
Where is Lisa Davidson located?
Lisa Davidson practices at 4730 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (952) 883-6805.
What is Lisa Davidson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Lisa Davidson enrolled in Medicare?
Yes. Lisa Davidson 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 Davidson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Davidson reassigns Medicare benefits to 3 organizations: Group Health, Inc. (Minneapolis, MN), Herself Health Mn PC (Saint Paul, MN) and Park Nicollet Clinic (Minneapolis, 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 Davidson'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 Davidson was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lisa L Davidson, GNP · NPI 1568436939
Nurse Practitioner physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since February 14, 2006.
## Identity
- **NPI:** 1568436939 (Entity type: Individual)
- **Enumerated:** February 14, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 855 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4730 CHICAGO AVE, Minneapolis, MN 55407-3570
- **Phone:** (952) 883-6805
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Group Health, Inc. (NPI 1710924683, Minneapolis, MN); Herself Health Mn PC (NPI 1326775420, Saint Paul, MN); Park Nicollet Clinic (NPI 1912315144, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** August 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568436939) · Data from the CMS NPPES public registry.