LISA M. GUETZKO M.D.
NPI 1831388974
Pediatrics in Princeton, MN

Active since October 15, 2007PECOS Enrolled
919 NORTHLAND DR, PRINCETON, MN 55371(763) 389-3344 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 25, 2018, Nov 29, 2017 (2 updates tracked since 2017).

About Lisa M. Guetzko M.d. NPPES

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

LISA M. GUETZKO M.D. (NPI 1831388974) is an individual pediatrics provider in Princeton, Minnesota, licensed in Minnesota (55638) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831388974
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLISA M. GUETZKOCredential: M.D.
Location Address919 NORTHLAND DRPrinceton, MN 55371-2172
Mailing Address9855 Hospital Dr Ste 102bMaple Grove, MN 55369-5021 · (763) 581-5900 · Fax (763) 581-5901
Sole ProprietorNo
Enumeration DateOctober 15, 2007
Last NPPES UpdateMay 31, 20222 updates tracked since enumeration
NPPES CertifiedMay 31, 2022
✔ NPI 1831388974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MN · 55638✔ Licensed in CA · A108780
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
919 NORTHLAND DR, Princeton, MN 55371

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 M. Guetzko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Guetzko reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Primary Care
919 NORTHLAND DR
Princeton, MN 55371
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Hospitalist
911 NORTHLAND DR
Princeton, MN 55371
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Pain
2621 GREENHAVEN RD
Anoka, MN 55303
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 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 55371 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.

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.

Surgery
919 NORTHLAND DR
PRINCETON, MN 55371
Family Medicine
919 NORTHLAND DR
PRINCETON, MN 55371
Family Medicine
919 NORTHLAND DR
PRINCETON, MN 55371
Family Medicine
919 NORTHLAND DR
PRINCETON, MN 55371
Surgery
919 NORTHLAND DR
PRINCETON, MN 55371
Podiatrist (Foot & Ankle Surgery)
919 NORTHLAND DR
PRINCETON, MN 55371
Dietitian, Registered
919 NORTHLAND DR
PRINCETON, MN 55371
Audiologist
919 NORTHLAND DR
PRINCETON, MN 55371

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 Guetzko's NPI number?

The NPI number for Lisa Guetzko is 1831388974. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Where is Lisa Guetzko located?

Lisa Guetzko practices at 919 Northland Dr, Princeton, MN 55371. The listed phone number is (763) 389-3344.

What is Lisa Guetzko's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Guetzko enrolled in Medicare?

Yes. Lisa Guetzko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Guetzko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Guetzko reassigns Medicare benefits to 3 organizations: Fairview Clinics (Princeton, MN), Fairview Health Services (Princeton, MN) and Group Health, Inc. (Anoka, 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 Guetzko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Guetzko accept?

Health plans from Medica and Sanford Health Plan list Lisa Guetzko 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 Guetzko was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.