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DR. LISA JOAN NIPPOLDT-BACA PSYD, LP, ABPP
NPI 1720314909
Clinical Neuropsychologist in Woodbury, MN

Active since October 23, 2009
88.97/100
CMS Quality Rating
1937 WOODLANE DRIVE, SUITE 101, WOODBURY, MN 55125(651) 764-8480(651) 471-9253 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2024, May 19, 2022, Mar 5, 2019 (3 updates tracked since 2019).

About Dr. Lisa Joan Nippoldt-baca Psyd, Lp, Abpp NPPES

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

DR. LISA JOAN NIPPOLDT-BACA PSYD, LP, ABPP (NPI 1720314909) is an individual clinical neuropsychologist in Woodbury, Minnesota, licensed in Minnesota (LP5271) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1720314909
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. LISA JOAN NIPPOLDT-BACACredential: PSYD, LP, ABPP
Location Address1937 WOODLANE DRIVE, SUITE 101Woodbury, MN 55125
Mailing Address1937 Woodlane Drive, Suite 101Woodbury, MN 55125 · (651) 764-8480 · Fax (651) 471-9253
Phone(651) 764-8480
Fax(651) 471-9253
Sole ProprietorNo
Enumeration DateOctober 23, 2009
Last NPPES UpdateApril 25, 20243 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
✔ NPI 1720314909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MN · LP5271
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License LP5271 (MN)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP5271 (MN)
1937 WOODLANE DRIVE, Woodbury, MN 55125
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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.89
Promoting Interoperability94
Improvement Activities40
Cost82.09

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VIRGINIA L. OLSON MA, LMFT
Marriage & Family Therapist
1937 WOODLANE DRIVE, SUITE 209
WOODBURY, MN 55125
Washington County (651) 214-0010

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 Nippoldt-baca's NPI number?

The NPI number for Lisa Nippoldt-baca is 1720314909. It was assigned to this individual provider in the NPPES registry on October 23, 2009.

Where is Lisa Nippoldt-baca located?

Lisa Nippoldt-baca practices at 1937 Woodlane Drive Suite 101, Woodbury, MN 55125. The listed phone number is (651) 764-8480.

What is Lisa Nippoldt-baca's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Lisa Nippoldt-baca was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.