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LISA MARIE TERHAAR CNP
NPI 1750684049
Nurse Practitioner - Gerontology in Circle Pines, MN

Active since December 08, 2010Opted out of Medicare · through May 18, 2027
550 62ND ST, CIRCLE PINES, MN 55014(612) 406-7200 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Marie Terhaar Cnp NPPES

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

LISA MARIE TERHAAR CNP (NPI 1750684049) is an individual gerontology provider in Circle Pines, Minnesota, licensed in Minnesota (R 124303-1) and active in the NPI registry since December 2010. She has opted out of Medicare through May 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750684049
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLISA MARIE TERHAARCredential: CNP
Location Address550 62ND STCircle Pines, MN 55014-1442
Mailing Address550 62nd StLino Lakes, MN 55014-1442 · (612) 406-7200
Phone(612) 406-7200
Sole ProprietorYes
Enumeration DateDecember 8, 2010
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1750684049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in MN · R 124303-1✔ Licensed in MN · R124303
550 62ND ST, Circle Pines, MN 55014
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa Marie Terhaar Cnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2017 through May 18, 2027.

Opt-Out Effective DateMay 18, 2017
Opt-Out In Effect ThroughMay 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55014 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.

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 Terhaar's NPI number?

The NPI number for Lisa Terhaar is 1750684049. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is Lisa Terhaar located?

Lisa Terhaar practices at 550 62nd St, Circle Pines, MN 55014. The listed phone number is (612) 406-7200.

What is Lisa Terhaar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa Terhaar enrolled in Medicare?

No. Lisa Terhaar has opted out of Medicare through May 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Terhaar was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.