DR. LISA WILKE PSYD
NPI 1760927784
Psychologist in Champlin, MN
About Dr. Lisa Wilke Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA WILKE PSYD (NPI 1760927784) is an individual psychologist in Champlin, Minnesota, licensed in Minnesota (LP6237) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lisa Wilke Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Wilke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Champlin, MN 55316
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 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.
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.
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 Wilke's NPI number?
The NPI number for Lisa Wilke is 1760927784. It was assigned to this individual provider in the NPPES registry on December 29, 2016.
Where is Lisa Wilke located?
Lisa Wilke practices at 11269 Jefferson Hwy N, Champlin, MN 55316. The listed phone number is (763) 236-0600.
What is Lisa Wilke's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Lisa Wilke enrolled in Medicare?
Yes. Lisa Wilke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Wilke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wilke reassigns Medicare benefits to Allina Health System (Champlin, MN). The 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 Lisa Wilke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Wilke was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.