MADELINE KATE LIEBERSON
NPI 1902456817
Physician Assistant in Woodbury, MN

Q: What is Madeline Lieberson's NPI number?

The NPI number for Madeline Lieberson is 1902456817. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Q: What is Madeline Lieberson's specialty?

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

Active since September 13, 2019PECOS Enrolled

1811 WEIR DR STE 270, WOODBURY, MN 55125(651) 243-6072(651) 714-9647 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Madeline Kate Lieberson NPPES

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

MADELINE KATE LIEBERSON (NPI 1902456817) is an individual physician assistant in Woodbury, Minnesota, licensed in Minnesota (13134) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902456817

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADELINE KATE LIEBERSON

Location Address1811 WEIR DR STE 270Woodbury, MN 55125-6741

Mailing Address9637 Olive Ln NMaple Grove, MN 55311-4531 · (763) 438-2190

Phone(651) 243-6072

Fax(651) 714-9647

Sole ProprietorNo

Enumeration DateSeptember 13, 2019

Last NPPES UpdateMay 20, 2024

NPPES CertifiedMay 20, 2024

✔ NPI 1902456817 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 · 13134

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.

1811 WEIR DR STE 270, Woodbury, MN 55125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Kate Lieberson 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

52 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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.

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.

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