LISA KIPPLEY PA-C
NPI 1831656396
Physician Assistant in Lakeville, MN

Active since February 20, 2019PECOS EnrolledAccepts Medicare Assignment
89.4/100
CMS Quality Rating
18275 KENRICK AVE, LAKEVILLE, MN 55044(651) 234-2950 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Nov 12, 2021, Apr 23, 2020 and 3 more (6 updates tracked since 2019).

About Lisa Kippley Pa-c NPPES

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

LISA KIPPLEY PA-C (NPI 1831656396) is an individual physician assistant in Lakeville, Minnesota, licensed in Minnesota (12949) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831656396
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA KIPPLEYCredential: PA-C
Location Address18275 KENRICK AVELakeville, MN 55044-7306
Mailing Address18275 Kenrick AveLakeville, MN 55044-7306 · (651) 234-2950
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 20, 2019
Last NPPES UpdateOctober 31, 20236 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1831656396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 12949
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
18275 KENRICK AVE, Lakeville, MN 55044

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa Kippley Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709129836
PECOS Enrollment IDI20190513002511
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55044 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

89.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.77
Improvement Activities40
Cost99.93

Other Providers at the Same Location NPPES 19

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

Physician Assistant
18275 KENRICK AVE
LAKEVILLE, MN 55044
Pharmacist
18275 KENRICK AVE
LAKEVILLE, MN 55044
Nurse Practitioner (Family)
18275 KENRICK AVE
LAKEVILLE, MN 55044
Optometrist
18275 KENRICK AVE
LAKEVILLE, MN 55044
Pharmacist
18275 KENRICK AVE
LAKEVILLE, MN 55044
Optometrist
18275 KENRICK AVE
LAKEVILLE, MN 55044
Pharmacist
18275 KENRICK AVE, T-1484
LAKEVILLE, MN 55044
Pharmacist
18275 KENRICK AVE
LAKEVILLE, MN 55044

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 Kippley's NPI number?

The NPI number for Lisa Kippley is 1831656396. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Where is Lisa Kippley located?

Lisa Kippley practices at 18275 Kenrick Ave, Lakeville, MN 55044. The listed phone number is (651) 234-2950.

What is Lisa Kippley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Kippley enrolled in Medicare?

Yes. Lisa Kippley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Kippley accept?

Health plans from Medica list Lisa Kippley 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 Kippley was last updated on October 31, 2023. 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.