LISA JEAN MCLELLAN PA
NPI 1699254490
Physician Assistant - Surgical in Minneapolis, MN

Q: What is Lisa Mclellan's NPI number?

The NPI number for Lisa Mclellan is 1699254490. It was assigned to this individual provider in the NPPES registry on August 13, 2018. The provider is also known as Lisa Jean Ruff Pa-C.

Q: What is Lisa Mclellan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mclellan was last updated on March 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment

800 E 28TH ST STE 401, MINNEAPOLIS, MN 55407(612) 863-0200(612) 863-0235 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2026, Nov 19, 2025, Sep 19, 2022 and 2 more (5 updates tracked since 2018).

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About Lisa Jean Mclellan Pa NPPES

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

LISA JEAN MCLELLAN PA (NPI 1699254490) is an individual surgical provider in Minneapolis, Minnesota, licensed in Minnesota (12793) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699254490

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLISA JEAN MCLELLANCredential: PA

Location Address800 E 28TH ST STE 401Minneapolis, MN 55407-3723

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(612) 863-0200

Fax(612) 863-0235

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 13, 2018

Last NPPES UpdateMarch 5, 20265 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1699254490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MN · 12793

800 E 28TH ST STE 401, Minneapolis, MN 55407

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Other Names 1

Former Name (1)Lisa Jean Ruff Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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 Jean Mclellan Pa 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 ID1456603513

PECOS Enrollment IDI20181018000014

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.

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.

Removal of lymph nodes of chest cavity using an endoscope 32674

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240038

Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County

Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

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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.

MS. DOMINIKA DULAK M.D.

Internal Medicine (Hematology & Oncology)