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

Lisa Kippley, PA-C

Individual provider Physician Assistant · NPI 1831656396

Lisa Kippley, PA-C is a Physician Assistant in Lakeville, Minnesota. Qualified in 2018, 8 years ago. Practices with Minuteclinic Diagnostic of Minnesota PA, a 86-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

18275 Kenrick Ave
Lakeville, MN 55044-7306
Phone: (651) 234-2950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12949 (MN)

Record details

NPI number1831656396
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2019
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Minuteclinic Diagnostic Of Minnesota Pa — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lakeville