DR. RACHELLE LILLIAN LISOGURSKI PH.D.
NPI 1689866808
Psychologist - Clinical in Minneapolis, MN

Q: What is Rachelle Lisogurski's NPI number?

The NPI number for Rachelle Lisogurski is 1689866808. It was assigned to this individual provider in the NPPES registry on August 12, 2007.

Q: What is Rachelle Lisogurski's specialty?

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

Active since August 12, 2007PECOS Enrolled

4432 CHICAGO AVE, CHRYSALIS, MINNEAPOLIS, MN 55407(612) 871-0118 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Rachelle Lillian Lisogurski Ph.d. NPPES

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

DR. RACHELLE LILLIAN LISOGURSKI PH.D. (NPI 1689866808) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP2596) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689866808

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. RACHELLE LILLIAN LISOGURSKICredential: PH.D.

Location Address4432 CHICAGO AVE, CHRYSALISMinneapolis, MN 55407-3519

Mailing Address10411 Cedar Lake Rd, Apt 319Minnetonka, MN 55305-3288 · (612) 871-0118

Phone(612) 871-0118

Sole ProprietorYes

Enumeration DateAugust 12, 2007

Last NPPES UpdateAugust 23, 2016

✔ NPI 1689866808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP2596

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.

4432 CHICAGO AVE, Minneapolis, MN 55407

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rachelle Lillian Lisogurski Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Rachelle Lisogurski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group Of Kansas PA

542 mi

Mental Health

801 E DOUGLAS AVE FL 2
Wichita, KS 67202

Reassigned Medicare billing, Kansas enrollment
102 clinicians in this Medicare group

NPI 1831848316 (316) 974-3161

Grow Healthcare Group PA

1,508 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.

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.

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.

LINDSEY MARIE-FRITSCH HENKE LICSW

Social Worker (Clinical)