MS. LISA LEEDHAM PA-C
NPI 1881143022
Physician Assistant in Cloquet, MN

Active since September 29, 2016PECOS EnrolledAccepts Medicare Assignment
512 SKYLINE BLVD, CLOQUET, MN 55720(218) 879-4641(218) 879-9167 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2020, Mar 17, 2018, Nov 13, 2017 and 1 more (4 updates tracked since 2016).

About Ms. Lisa Leedham Pa-c NPPES

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

MS. LISA LEEDHAM PA-C (NPI 1881143022) is an individual physician assistant in Cloquet, Minnesota, licensed in Minnesota (12573) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881143022
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LISA LEEDHAMCredential: PA-C
Location Address512 SKYLINE BLVDCloquet, MN 55720-3787
Mailing Address512 Skyline BlvdCloquet, MN 55720-1199 · (218) 879-4641 · Fax (218) 879-9167
Fax(218) 879-9167
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 29, 2016
Last NPPES UpdateJune 18, 20264 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
NPI 1881143022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 12573
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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601007983 (MI)
512 SKYLINE BLVD, Cloquet, MN 55720

Secondary Practice Locations 2

Location 1901 Lakeshore DrIshpeming, MI 49849-1367 · Phone (906) 485-7777
Location 2400 E 3rd StDuluth, MN 55805-1951 · Phone (218) 786-8364

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

Ms. Lisa Leedham 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 ID9335437888
PECOS Enrollment IDI20171031001225
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Cook Hospital

Critical Access Hospitals · Cook, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241312
Location10 SE Fifth StCook, MN 55723 · St. Louis County
Emergency services

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55720 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$23.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
512 SKYLINE BLVD
CLOQUET, MN 55720
Pharmacist
512 SKYLINE BLVD
CLOQUET, MN 55720
Skilled Nursing Facility
512 SKYLINE BLVD
CLOQUET, MN 55720
Orthopaedic Surgery
512 SKYLINE BLVD
CLOQUET, MN 55720
Obstetrics & Gynecology
512 SKYLINE BLVD
CLOQUET, MN 55720
Nurse Anesthetist, Certified Registered
512 SKYLINE BLVD
CLOQUET, MN 55720
Family Medicine
512 SKYLINE BLVD, COMMUNITY MEMORIAL HOSPITAL
CLOQUET, MN 55720
Medicare Defined Swing Bed Unit
512 SKYLINE BLVD
CLOQUET, MN 55720

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 Leedham's NPI number?

The NPI number for Lisa Leedham is 1881143022. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Lisa Leedham located?

Lisa Leedham practices at 512 Skyline Blvd, Cloquet, MN 55720. The listed phone number is (218) 879-4641.

What is Lisa Leedham's specialty?

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

Is Lisa Leedham enrolled in Medicare?

Yes. Lisa Leedham 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 Leedham accept?

Health plans from Medica and Security Health Plan list Lisa Leedham 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.

Is Lisa Leedham affiliated with any hospitals?

According to CMS data, Lisa Leedham is affiliated with St Lukes Hospital, Cook Hospital and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Leedham was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.