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

Lisa Stepanov

Individual provider Family Nurse Practitioner · NPI 1508416215

Lisa Stepanov is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2019, 7 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
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Practice location Address checks out

1300 University Ave W
Saint Paul, MN 55104-4103
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1040 Grand Ave, Saint Paul, MN 55105-3001 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6834 (MN)

Record details

NPI number1508416215
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2019
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Paul