AMY LYNN LISDAHL PMHNP
NPI 1700123973
Nurse Practitioner - Psychiatric/Mental Health in Duluth, MN

Q: What is Amy Lisdahl's NPI number?

The NPI number for Amy Lisdahl is 1700123973. It was assigned to this individual provider in the NPPES registry on January 8, 2013.

Q: What is Amy Lisdahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Amy Lisdahl was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 January 08, 2013PECOS EnrolledAccepts Medicare Assignment

810 E 4TH ST, DULUTH, MN 55805(218) 728-4491(218) 730-2367 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 29, 2020, Jan 18, 2017 (2 updates tracked since 2017).

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About Amy Lynn Lisdahl Pmhnp NPPES

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

AMY LYNN LISDAHL PMHNP (NPI 1700123973) is an individual psychiatric/mental health provider in Duluth, Minnesota, licensed in Wisconsin (7410) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700123973

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAMY LYNN LISDAHLCredential: PMHNP

Location Address810 E 4TH STDuluth, MN 55805-2147

Mailing Address1900 Silver Lake Rd NwNew Brighton, MN 55112-1786 · (651) 628-9566 · Fax (651) 628-0411

Phone(218) 728-4491

Fax(218) 730-2367

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 8, 2013

Last NPPES UpdateApril 22, 20252 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1700123973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in WI · 7410✔ Licensed in MN · CNP4944✔ Licensed in CA · 95002695

Also ListedRegistered NurseTaxonomy 163W00000X · License 606806 (CA)

810 E 4TH 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, HealthPartners, Sanford Health Plan and more.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

Amy Lynn Lisdahl Pmhnp 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 ID8426351065

PECOS Enrollment IDI20170130000163

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services12 patients

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

$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.

MEGAN ELIZABETH TEZAK MSW, LICSW

Social Worker (Clinical)

810 E 4TH ST
DULUTH, MN 55805

St. Louis County (218) 728-4491

NATALIE JO RYAN MSW, LICSW

Social Worker (Clinical)

810 E 4TH ST
DULUTH, MN 55805

St. Louis County (218) 624-5683

RICHARD J VALENTO LPCC

Counselor (Professional)

810 E 4TH ST
DULUTH, MN 55805

St. Louis County (218) 728-4491

MAUREEN P NEUSTEL MSW, LICSW

Social Worker (Clinical)

810 E 4TH ST
DULUTH, MN 55805

St. Louis County (218) 624-5683

SHANNON C BAYLESS MSW, LICSW

Social Worker (Clinical)

810 E 4TH ST
DULUTH, MN 55805

St. Louis County (218) 624-5683

TANYA RAE BEDNAREK MSW, LICSW, LADC

Social Worker (Clinical)

810 E 4TH ST
DULUTH, MN 55805

St. Louis County (218) 728-4491

MISS CORTNEY RUTH BUCHHOLZ RN

Nurse Practitioner (Psychiatric/Mental Health)

810 E 4TH ST
DULUTH, MN 55805

St. Louis County (218) 728-4491

YVONNE I MONIEN MSN, RN-BC

Registered Nurse (Psychiatric/Mental Health)

810 E 4TH ST
DULUTH, MN 55805

St. Louis County (218) 728-3931

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 Amy Lisdahl's NPI number?

The NPI number for Amy Lisdahl is 1700123973. It was assigned to this individual provider in the NPPES registry on January 8, 2013.

Where is Amy Lisdahl located?

Amy Lisdahl practices at 810 E 4th St, Duluth, MN 55805. The listed phone number is (218) 728-4491.

What is Amy Lisdahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amy Lisdahl enrolled in Medicare?

Yes. Amy Lisdahl 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.

What insurance does Amy Lisdahl accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list Amy Lisdahl 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.

When was this NPI record last updated?

The NPPES record for Amy Lisdahl was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.