LISA T LEY (PA-C) – Medical Physician Assistant, NPI 1821094392

LISA T LEY (PA-C) is a healthcare provider. based in Edina, Minnesota. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 9570 (MN). The NPI Number for LISA T LEY (PA-C) is 1821094392

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LISA T LEY (PA-C)
NPI
1821094392
Phone
(952) 920-2761
Address
3400 W 66TH ST
Enumeration Date
21 June 2005
Last Update Date
15 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514068860
Graduation Year
2000 (26 years ago)
PAC ID
4981728268
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20100824000931
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 LISA T LEY (PA-C)

  • West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55439, United States

    STE 385

    EDINA, MN 554352197

    Phone: (952) 920-2761

    Mailing address matches the actual address.

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: 2010-08-24

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
I20100824000931IPhysician AssistantMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes161141$0
36415Insertion of needle into vein for collection of blood sample147123$0
99213Established patient office or other outpatient visit, 20-29 minutes9086$0
80048Blood test, basic group of blood chemicals (calcium, total)5952$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test5351$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 7113830142View full group profile

Reviews

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Frequently asked questions

How do payers reference LISA T LEY (PA-C)?
For LISA T LEY (PA-C), use NPI 1821094392 as the unique 10-digit identifier.
Is there an active status for LISA T LEY (PA-C)?
For scheduling context, LISA T LEY (PA-C) is shown as active in the registry.
What kind of doctor is LISA T LEY (PA-C)?
LISA T LEY (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LISA T LEY (PA-C)?
Directory geography for LISA T LEY (PA-C) centers on Edina, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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