LISA SUE HENDRICKSON
NPI 1801472659
Nurse Practitioner - Family in Little Falls, MN
About Lisa Sue Hendrickson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA SUE HENDRICKSON (NPI 1801472659) is an individual family provider in Little Falls, Minnesota, licensed in Minnesota (8077) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Sue Hendrickson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Hendrickson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Falls, MN 56345
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1780630939 (Minnesota)
- 205 clinicians in this Medicare group
Park Rapids, MN 56470
- Reassigned Medicare billing, Minnesota enrollment
- 80 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56345 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.
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 Hendrickson's NPI number?
The NPI number for Lisa Hendrickson is 1801472659. It was assigned to this individual provider in the NPPES registry on March 22, 2021.
Where is Lisa Hendrickson located?
Lisa Hendrickson practices at 811 2nd St SE, Little Falls, MN 56345. The listed phone number is (320) 631-7000.
What is Lisa Hendrickson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Hendrickson enrolled in Medicare?
Yes. Lisa Hendrickson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lisa Hendrickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Hendrickson reassigns Medicare benefits to 2 organizations: Unity Family Healthcare (Little Falls, MN) and St. Joseph's Area Health Services (Park Rapids, 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 Lisa Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Hendrickson accept?
Health plans from Sanford Health Plan list Lisa Hendrickson 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 Lisa Hendrickson was last updated on April 8, 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.
# Lisa Sue Hendrickson · NPI 1801472659
Family physician in Little Falls, Minnesota. Individual provider, active in the CMS NPPES registry since March 22, 2021.
## Identity
- **NPI:** 1801472659 (Entity type: Individual)
- **Enumerated:** March 22, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8077 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 811 2ND ST SE, Little Falls, MN 56345-3559
- **Phone:** (320) 631-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Unity Family Healthcare (NPI 1275762650, Little Falls, MN); St. Joseph's Area Health Services (NPI 1023086055, Park Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1801472659) · Data from the CMS NPPES public registry.