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LISA MARIE VANBAALEN
NPI 1679636799
Social Worker - Clinical in Duluth, MN

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
400 E 3RD ST, DULUTH, MN 55805(218) 786-5944 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa Marie Vanbaalen NPPES

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

LISA MARIE VANBAALEN (NPI 1679636799) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (11744) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1679636799
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA MARIE VANBAALEN
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-5944
Phone(218) 786-5944
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679636799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 11744
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
400 E 3RD ST, Duluth, MN 55805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan, Security Health Plan.Insurance ›

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 Marie Vanbaalen 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 ID9830490465
PECOS Enrollment IDI20151223001453
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Lisa Vanbaalen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Duluth Clinic, Ltd
Same address
Multi-Specialty
400 E 3RD ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
NPI 1245278209 (218) 786-8364
Smdc Medical Center
1.2 mi
Adolescent and Children Mental Health
615 PECAN AVE
Duluth, MN 55811
  • Reassigned Medicare billing, Minnesota enrollment
  • 31 clinicians in this Medicare group
NPI 1235488438 (218) 355-2100
Family Based Therapy Associates
128 mi
Mental Health
199 COON RAPIDS BLVD NW, SUITE 306
Coon Rapids, MN 55433
  • Reassigned Medicare billing, Minnesota enrollment
  • 22 clinicians in this Medicare group
NPI 1194762005 (763) 780-1520
Grow Healthcare Group PA
1,590 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota enrollment
  • 276 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
81 services12 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

CHRISTIAN CONNER RN, CRNA
Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4150
DR. BRANDY LEE SWEENEY DO
Anesthesiology
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
JORDAN TICHENOR
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-3737
MOLLY B DWYER APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
AMY MARIE LARSON MD
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
BRUCE JAMES DERAUF
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
NIZAR NAJIB SALEH
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
DIANE MAE KOLQUIST
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364

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 Vanbaalen's NPI number?

The NPI number for Lisa Vanbaalen is 1679636799. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Lisa Vanbaalen located?

Lisa Vanbaalen practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-5944.

What is Lisa Vanbaalen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Vanbaalen enrolled in Medicare?

Yes. Lisa Vanbaalen 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 Vanbaalen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Vanbaalen reassigns Medicare benefits to 4 organizations: The Duluth Clinic, Ltd (Duluth, MN), Smdc Medical Center (Duluth, MN), Family Based Therapy Associates (Coon Rapids, MN) and Grow Healthcare Group PA (Miami, FL). 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 Vanbaalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Vanbaalen accept?

Health plans from Anthem Blue Cross and Blue Shield, Sanford Health Plan and Security Health Plan list Lisa Vanbaalen 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.

Is Lisa Vanbaalen affiliated with any hospitals?

According to CMS data, Lisa Vanbaalen is affiliated with Essentia Health Duluth.

When was this NPI record last updated?

The NPPES record for Lisa Vanbaalen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.