MS. LISA MOEN MA
NPI 1578080743
Psychologist - Clinical in Anoka, MN

Q: What is Lisa Moen's NPI number?

The NPI number for Lisa Moen is 1578080743. It was assigned to this individual provider in the NPPES registry on August 28, 2017. The provider is also known as Lisa Zylstra.

Q: What is Lisa Moen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Moen was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 28, 2017PECOS EnrolledAccepts Medicare Assignment

1833 3RD AVE, ANOKA, MN 55303(763) 421-5535(763) 433-0226 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2020, Jun 20, 2020, Jan 15, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Ms. Lisa Moen Ma NPPES

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

MS. LISA MOEN MA (NPI 1578080743) is an individual clinical provider in Anoka, Minnesota, licensed in Minnesota (LP6538) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eden Prairie, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578080743

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMS. LISA MOENCredential: MA

Location Address1833 3RD AVEAnoka, MN 55303-2424

Mailing Address7525 Mitchell Rd Ste 100Eden Prairie, MN 55344-1900 · (952) 224-2282 · Fax (952) 224-2284

Phone(763) 421-5535

Fax(763) 433-0226

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 28, 2017

Last NPPES UpdateJuly 21, 20204 updates tracked since enumeration

NPPES CertifiedJuly 21, 2020

✔ NPI 1578080743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP6538

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1833 3RD AVE, Anoka, MN 55303

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Other Names 1

Former Name (1)Lisa Zylstra

Secondary Practice Location 1

Location 17525 Mitchell Rd Ste 100Eden Prairie, MN 55344-1900 · Phone (952) 224-2282 · Fax (952) 224-2284

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Ms. Lisa Moen Ma 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 ID6608290036

PECOS Enrollment IDI20200720000205

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 55303 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

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.

PHAKOUEW YACHAI YANG BA

Counselor (Mental Health)

1833 3RD AVE
ANOKA, MN 55303

Anoka County (612) 924-3807

MARGARET SUSAN PFAU LMFT

Marriage & Family Therapist

1833 3RD AVE
ANOKA, MN 55303

Anoka County (763) 421-5535

KAYLA CLINT LMFT

Marriage & Family Therapist

1833 3RD AVE
ANOKA, MN 55303

Anoka County (763) 344-4456

JENELLE PANGBORN

Counselor (Mental Health)

1833 3RD AVE
ANOKA, MN 55303

Anoka County (763) 421-5535

BETHANY RUTH GLINES M.A., LPCC

Counselor (Mental Health)

1833 3RD AVE
ANOKA, MN 55303

Anoka County (763) 421-5535

RACHEL LYNN LAIDLAW

Counselor (Mental Health)

1833 3RD AVE
ANOKA, MN 55303

Anoka County (763) 421-5535

FATUMA K PETERSON

Counselor (Mental Health)

1833 3RD AVE
ANOKA, MN 55303

Anoka County (763) 421-5535

MADISON PROSS

Counselor (Mental Health)

1833 3RD AVE
ANOKA, MN 55303

Anoka County (651) 421-5535

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 Moen's NPI number?

The NPI number for Lisa Moen is 1578080743. It was assigned to this individual provider in the NPPES registry on August 28, 2017. The provider is also known as Lisa Zylstra.

Where is Lisa Moen located?

Lisa Moen practices at 1833 3rd Ave, Anoka, MN 55303. The listed phone number is (763) 421-5535.

What is Lisa Moen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lisa Moen enrolled in Medicare?

Yes. Lisa Moen 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.

What insurance does Lisa Moen accept?

Health plans from HealthPartners list Lisa Moen 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 Moen was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.