LISA M JENSON (ATC) – Athletic Trainer, NPI 1104040047

Athletic Trainer

LISA M JENSON (ATC) is a healthcare provider. based in Andover, Minnesota. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. 1453 (MN). The NPI Number for LISA M JENSON (ATC) is 1104040047

Main info

Female

Sole Proprietor

Name

LISA M JENSON (ATC)

NPI

1104040047

Phone

(763) 783-0849

Address

16317 WINTERGREEN ST NW

Enumeration Date

12 April 2007

Last Update Date

8 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for LISA M JENSON (ATC)

16317 WINTERGREEN ST NW
ANDOVER, MN 553047734
Phone: (763) 783-0849
Type: Mailing
12555 UNIVERSITY AVE NW
BLAINE, MN 55434
Phone: (763) 506-6729
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.

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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 55304)

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Reviews

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Frequently asked questions

What number should I use to identify LISA M JENSON (ATC) for billing?

Administrative and clinical systems typically use NPI 1104040047 for LISA M JENSON (ATC).

Should I treat LISA M JENSON (ATC) as an active provider?

Patients and plans typically see LISA M JENSON (ATC) as active in the national extract.

What does the directory say LISA M JENSON (ATC) does?

Insurance directories may phrase it differently, but here LISA M JENSON (ATC) maps to Athletic Trainer. Clinical services aligned with this taxonomy classification.

Is LISA M JENSON (ATC) tied to Andover, Minnesota?

If you are local to Andover, Minnesota, LISA M JENSON (ATC) may be relevant to your search.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.