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

Mrs. Lydia Marie Greis, CNP

Individual provider Registered Nurse · NPI 1578859518

Mrs. Lydia Marie Greis, CNP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2011, 15 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2011
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

2001 Blaisdell Ave S Park Nicollet Clinic
Minneapolis, MN 55404
Phone: (952) 993-8000
Fax: (952) 993-8039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence R179498-8 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R179494-8 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence G0611003 (MN)

Record details

NPI number1578859518
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedJune 28, 2011
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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