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LISA BERNTSON DORNICK PNP
NPI 1992743884
Nurse Practitioner - Pediatrics in Minneapolis, MN

Active since June 03, 2006
250 S 4TH ST, MINNEAPOLIS, MN 55415(612) 673-2301(612) 673-3866 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Berntson Dornick Pnp NPPES

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

LISA BERNTSON DORNICK PNP (NPI 1992743884) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (R-101808-8) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1992743884
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLISA BERNTSON DORNICKCredential: PNP
Location Address250 S 4TH STMinneapolis, MN 55415-1384
Mailing Address250 S 4th St, Room 250Minneapolis, MN 55415-1384 · (612) 673-2301 · Fax (612) 673-3866
Phone(612) 673-2301
Fax(612) 673-3866
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateSeptember 21, 2012
✔ NPI 1992743884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · R-101808-8
250 S 4TH ST, Minneapolis, MN 55415
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified500002662MN
Medicaid782314200MN
Medicare UPINP07086MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 6

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

LORI CARLSON
Nurse Practitioner (Pediatrics)
250 S 4TH ST, DHFS, ROOM 510
MINNEAPOLIS, MN 55415
Hennepin County (612) 673-3548
SUZANNE KAY JOHNSTON L.M.F.T.
Marriage & Family Therapist
250 S 4TH ST, ROOM 510
MINNEAPOLIS, MN 55415
Hennepin County (612) 673-3514
GRETTA JANE HUGHES PA-C, MPH
Physician Assistant
250 S 4TH ST
MINNEAPOLIS, MN 55415
Hennepin County (218) 340-5044
MRS. KRISTINE LYNN MARTIN MA LPCC
Counselor (Professional)
250 S 4TH ST, PSC ROOM 510
MINNEAPOLIS, MN 55415
Hennepin County (612) 673-2301
MRS. BARBARA ANN ANDREWS RN CPNP
Nurse Practitioner (Pediatrics)
250 S 4TH ST, RM 510 PSC
MINNEAPOLIS, MN 55415
Hennepin County (612) 673-3828
MICHON ELIZABETH MCBRIDE DNP, PNP
Nurse Practitioner (Pediatrics)
250 S 4TH ST, ROOM 510
MINNEAPOLIS, MN 55415
Hennepin County (612) 673-5305

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 Dornick's NPI number?

The NPI number for Lisa Dornick is 1992743884. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Lisa Dornick located?

Lisa Dornick practices at 250 S 4th St, Minneapolis, MN 55415. The listed phone number is (612) 673-2301.

What is Lisa Dornick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Lisa Dornick accept?

Health plans from Medica list Lisa Dornick 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 Dornick was last updated on September 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.