Active NPI
Lisa Rae Milbrandt, PA-C
- Physician Assistant
- Worthington, MN
National Provider Identifier
1043687627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1680 Diagonal Rd
Worthington, MN 56187-1008 - Phone
- (507) 360-8825
- NPI assigned
- Aug 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1680 Diagonal Rd
Worthington, MN 56187-1008
Mailing address
1680 Diagonal Rd
Worthington, MN 56187-1008
Phone (507) 360-8825
Other practice location 1
911 E 20th St
Suite 303
Sioux Falls, SD 57105-1042
Phone (507) 360-8825
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmilbrandt10367135@direct.sanfordhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171205000482 | MN | Practitioner - Physician Assistant | 3870850506 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health Network
Practice addresses (Care Compare)
1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-3800
1680 Diagonal Rd
Worthington, MN 56187-1008
Phone (507) 372-3800
Hospital & facility affiliations
- Sanford Worthington Medical Center
- Sanford Usd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Locations
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100
1680 Diagonal Rd
Worthington, MN 56187
Phone (507) 372-3800
Interoperability endpoints
- lmilbrandt10367135@direct.sanfordhealth.org
- lisa.milbrandt.1@15839.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
-
- Family Medicine Physician
- Boyden, IA
- NPI 1679726111
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1043687627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 DIAGONAL RD",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561871008",
"telephone_number": "507-360-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 DIAGONAL RD",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561871008",
"telephone_number": "507-360-8825"
}
],
"practiceLocations": [
{
"address_1": "911 E 20th St",
"address_2": "Suite 303",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571051042",
"country_code": "US",
"telephone_number": "507-360-8825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILBRANDT",
"first_name": "LISA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-30",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmilbrandt10367135@direct.sanfordhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1680 Diagonal Rd",
"city": "Worthington",
"state": "MN",
"country_code": "US",
"postal_code": "561871008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Worthington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.