AMY LYNN LISDAHL PMHNP
NPI 1700123973
Nurse Practitioner - Psychiatric/Mental Health in Duluth, MN
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, maintains a secondary practice location in Duluth, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Amy Lisdahl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Human Development Center
- 69 clinicians in this Medicare group
New Brighton, MN 55112
- Reassigned Medicare billing, Minnesota enrollment
- 794 clinicians in this Medicare group
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 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.
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.
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.
DULUTH, MN 55805
DULUTH, MN 55805
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.
Which organizations bill Medicare for Amy Lisdahl's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Lisdahl reassigns Medicare benefits to 2 organizations: Brightwater Health Dba Human Development Center (Duluth, MN) and Nystrom & Associates, Ltd (New Brighton, MN). 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 Amy Lisdahl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Lisdahl accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Medica 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 18 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.
# Amy Lynn Lisdahl, PMHNP · NPI 1700123973
Psychiatric/Mental Health physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since January 8, 2013.
## Identity
- **NPI:** 1700123973 (Entity type: Individual)
- **Enumerated:** January 8, 2013
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 7410 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 810 E 4TH ST, Duluth, MN 55805-2147
- **Phone:** (218) 728-4491 · **Fax:** (218) 730-2367
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Brightwater Health Dba Human Development Center (NPI 1194790733, Duluth, MN); Nystrom & Associates, Ltd (NPI 1396750188, New Brighton, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700123973) · Data from the CMS NPPES public registry.