LISA STEPANOV NPI 1508416215

NPI Information

  • NPI: 1508416215
  • Provider Name: LISA STEPANOV
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 UNIVERSITY AVE W
    SAINT PAUL, MN
    ZIP 55104
  • Phone: (866) 389-2727

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NPI Details

Lisa Stepanov is a family nurse practitioner in Saint Paul, MN with 6 years of experience. Lisa Stepanov NPI is 1508416215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1300 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104-103
Phone: (866) 389-2727

The NPI 1508416215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2019 and was last updated on 8/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily6834MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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