AMY LYNN LISDAHL (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1700123973
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for AMY LYNN LISDAHL (PMHNP)
332 W Superior St Ste 300
Duluth, MN 558021844
Phone: (218) 722-4379
Fax: (218) 722-4333
Type: Location
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 551121786
Phone: (651) 628-9566
Fax: (651) 628-0411
Type: Mailing
810 E 4TH ST
DULUTH, MN 558052147
Phone: (218) 728-4491
Fax: (218) 730-2367
Type: Location
1401 E 1ST ST
DULUTH, MN 558052407
Phone: (218) 728-4491
Fax: (218) 730-2367
Type: Mailing
1500 N 34TH ST STE 100
SUPERIOR, WI 548804476
Phone: (715) 392-8216
Fax: (715) 392-6055
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170127001361 | I | Nurse Practitioner | WI | TBD |
| I20170130000163 | I | Nurse Practitioner | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 11 | $0 |
Insurance plans in this area (ZIP 55802)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WI | 90792 | Psychiatric diagnostic evaluation with medical services | 51 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Mental Health Counselor | MN | |
| Marriage And Family Therapist | MN | |
| Clinical Psychologist | MN | |
| Mental Health Counselor | MN | |
| Clinical Psychologist | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN | |
| - | MN |
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