MS. KATHLEEN J LIETZAU (APCNS) – Adult Psychiatric/Mental Health Registered Nurse, NPI 1730164567

MS. KATHLEEN J LIETZAU (APCNS) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Adult Psychiatric/Mental Health Registered Nurse. They hold the professional credentials APCNS. They hold a License No. R94581-9 (MN). The NPI Number for MS. KATHLEEN J LIETZAU (APCNS) is 1730164567

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHLEEN J LIETZAU (APCNS)
NPI
1730164567
Phone
(612) 925-6033
Address
3100 W LAKE ST
Enumeration Date
14 December 2005
Last Update Date
14 August 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9524321484
Graduation Year
1994 (32 years ago)
PAC ID
8527068956
Group Practice PAC ID
0749171320
Professional Enrollment ID
I20070108000408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MS. KATHLEEN J LIETZAU (APCNS)

  • 3100, West Lake Street, Cedar-Isles-Dean, Minneapolis, Hennepin County, Minnesota, 55416, United States

    SUITE 210

    MINNEAPOLIS, MN 554164527

    Phone: (612) 925-6033

    Type: Mailing

  • Apple Valley Business Center, 6950, 146th Street West, Scott Highlands, Apple Valley, Dakota County, Minnesota, 55124, United States

    SUITE 100

    APPLE VALLEY, MN 551244513

    Phone: (952) 432-1484

    Fax: (952) 432-2328

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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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: 0749171320View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MS. KATHLEEN J LIETZAU (APCNS)?
The federal identifier for MS. KATHLEEN J LIETZAU (APCNS) is NPI 1730164567.
Is MS. KATHLEEN J LIETZAU (APCNS) active in the national directory?
MS. KATHLEEN J LIETZAU (APCNS)'s public NPI profile is in an active state.
Does MS. KATHLEEN J LIETZAU (APCNS) list a primary specialty?
If you are matching referrals, note Adult Psychiatric/Mental Health Registered Nurse for MS. KATHLEEN J LIETZAU (APCNS). Clinical services aligned with this taxonomy classification.
Where is MS. KATHLEEN J LIETZAU (APCNS)'s primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for MS. KATHLEEN J LIETZAU (APCNS).
Is MS. KATHLEEN J LIETZAU (APCNS) a real provider?
This page reflects official NPPES data for NPI 1730164567. Always confirm identity and privileges with the practice and licensing boards.

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