Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LISA MARIE RIVERS PA-C
NPI 1588579270
Physician Assistant - Medical in Minneapolis, MN

Active since August 17, 2026
1415 LILAC DR N STE 190, MINNEAPOLIS, MN 55422(763) 267-8701 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Marie Rivers Pa-c NPPES

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

LISA MARIE RIVERS PA-C (NPI 1588579270) is an individual medical provider in Minneapolis, Minnesota, licensed in Minnesota (15883) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1588579270
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA MARIE RIVERSCredential: PA-C
Location Address1415 LILAC DR N STE 190Minneapolis, MN 55422-4544
Mailing Address16324 Iresfeld Ave NwClearwater, MN 55320-2408
Sole ProprietorNo
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
NPI 1588579270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MN · 15883
1415 LILAC DR N STE 190, Minneapolis, MN 55422

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.

Family Medicine (Geriatric Medicine)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Family Medicine
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Family)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Gerontology)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Adult Health)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Gerontology)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422

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 Rivers's NPI number?

The NPI number for Lisa Rivers is 1588579270. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Lisa Rivers located?

Lisa Rivers practices at 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422. The listed phone number is (763) 267-8701.

What is Lisa Rivers's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lisa Rivers was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.