LISA R DAVIDSON (MD) – Neurology Physician, NPI 1184603193

LISA R DAVIDSON (MD) is a healthcare provider. based in Mankato, Minnesota. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 43496 (MN). The NPI Number for LISA R DAVIDSON (MD) is 1184603193

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
LISA R DAVIDSON (MD)
NPI
1184603193
Phone
(507) 625-1811
Address
PO BOX 8674
Enumeration Date
10 January 2006
Last Update Date
10 July 2020

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
4587615430
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20050208000648
Address ID
MN560028674MA1421XDRXX300

Contacts

Secure Messaging
lisadavidson@mklt.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

640 NEUROLOGY in MN

Loading map...

Provider Addresses for LISA R DAVIDSON (MD)

  • Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States

    1230 E MAIN ST MANKATO CLINIC LTD

    MANKATO, MN 560028674

    Phone: (507) 625-1811

    Type: Mailing

  • Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO CLINIC AT MAIN STREET

    MANKATO, MN 560028674

    Phone: (507) 625-1811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $14,351.

Total Amount is formed as General ($14,351) + Research ($0) + Ownership ($0) = $14,351.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($13,670).

Total Amount

$14,351

General + Research + Ownership

Payments

47

Total payment records

General Amount

$14,351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050208000648INeurologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit45,20055$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study11455$0
99215Established patient office or other outpatient visit, 40-54 minutes9678$0
96160Administration and interpretation of patient-focused health risk assessment9586$0
95874Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle8129$0
View full utilization report →

Insurance plans in this area (ZIP 56002)

Loading plans...

Provider's Procedures

LISA R DAVIDSON (MD) performs procedures in NEUROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYMN95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube1412

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597677955View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Diagnostic RadiologyCO
Physician AssistantMN
P O D I A T R YMN
-MN
-MN
General SurgeryMN
Diagnostic Radiology, Internal MedicineMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is LISA R DAVIDSON (MD)'s NPI number?
LISA R DAVIDSON (MD)'s NPI is 1184603193 — the number used across U.S. healthcare to identify this provider.
Is LISA R DAVIDSON (MD) still an active registrant?
LISA R DAVIDSON (MD) carries an active NPI according to the public dataset.
What kind of doctor is LISA R DAVIDSON (MD)?
LISA R DAVIDSON (MD) is associated with Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is LISA R DAVIDSON (MD) located near Mankato?
LISA R DAVIDSON (MD) currently maps to Mankato, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

KIMBERLY A AHO (MD)

Neurology Physician
PO BOX 8674
NPI: 1154325173

DR. THANH K DANG (MD)

Neurology Physician
Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States
NPI: 1164403994

ANDREW L REEVES (MD)

Neurology Physician
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
NPI: 1558345439

MANKATO CLINIC LTD

Family Medicine Physician
Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States
NPI: 1629044029

DR. NIDAL ALKURDY (MD)

Neurology Physician
Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States
NPI: 1548362114
PO BOX 8674
NPI: 1083906150

HAN WANG (M.D., M.P.H.)

Neurology Physician
1025 MARSH ST
NPI: 1396164380
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
NPI: 1346690906