Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Annette Lubbers, CNP

Individual provider Neonatal Nurse Practitioner · NPI 1093838963

Lisa Annette Lubbers, CNP is a Nurse Practitioner in St Louis Park, Minnesota. Qualified in 2002, 24 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and South Dakota.

Years since qualifying
24
Licensed in
MN, SD
In the registry since
2007
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1305 W 18th St, Sioux Falls, SD 57105-0401 — (605) 328-3000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP1136 (MN)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence R160724-0 (MN)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence CP000374 (SD)

Record details

NPI number1093838963
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedApril 7, 2007
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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