LISA DANIELLE WIKOFF ANDERSON NP
NPI 1609553791
Nurse Practitioner - Family in Crookston, MN

Q: What is Lisa Anderson's NPI number?

The NPI number for Lisa Anderson is 1609553791. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Q: What is Lisa Anderson'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 Anderson was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 29, 2023PECOS EnrolledAccepts Medicare Assignment

323 S MINNESOTA ST, CROOKSTON, MN 56716(218) 281-9595 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lisa Danielle Wikoff Anderson Np NPPES

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

LISA DANIELLE WIKOFF ANDERSON NP (NPI 1609553791) is an individual family provider in Crookston, Minnesota, licensed in Minnesota (10398) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Riverview Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609553791

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA DANIELLE WIKOFF ANDERSONCredential: NP

Location Address323 S MINNESOTA STCrookston, MN 56716-1601

Mailing Address323 S Minnesota StCrookston, MN 56716-1601 · (218) 281-9595

Phone(218) 281-9595

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 29, 2023

NPPES CertifiedJune 29, 2023

✔ NPI 1609553791 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 · 10398

323 S MINNESOTA ST, Crookston, MN 56716

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, 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 Danielle Wikoff Anderson Np 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 ID5092179648

PECOS Enrollment IDI20230914002321

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Hospital

Critical Access Hospitals · Crookston, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241320

Location323 South MinnesotaCrookston, MN 56716 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56716 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.

SAMANTHA BRENTRUP PHARMD

Pharmacist