NPIMap

Individual provider Active NPI

Kerith W Lijewski, MD

  • Family Medicine Physician
  • River Falls, WI
National Provider Identifier
1093708588
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45696020 Issued in WI
Practice address
1687 E Division St
River Falls, WI 54022-1571
Phone
(715) 425-6701
Fax
(715) 425-7075
NPI assigned
Aug 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45696020 WI Primary

Addresses

Primary practice location

1687 E Division St
River Falls, WI 54022-1571

Mailing address

1687 E Division St
River Falls, WI 54022-1571
Phone (715) 425-6701

Other identifiers 1

IdentifierTypeStateIssuer
34285700MedicaidWI

Other names 1

  • Kerith E Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040527000499 WI Practitioner - Family Practice 2961483763 Reassigns benefits to 4 organizations
I20231208001704 MN Practitioner - Family Practice 2961483763 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

1687 E Division St
River Falls, WI 54022-1571
Phone (715) 425-6701

5366 386TH St NE
North Branch, MN 55056-5833
Phone (651) 674-8353

9900 Tamarack Rd
Woodbury, MN 55125-3609
Phone (651) 471-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45696020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 14, 2024 Accepting new patients
Western Wisconsin Medical Associates CurrentSince Aug 25, 2003 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Mar 30, 2021 Accepting new patients
Allina Health System CurrentSince Jul 29, 2003 Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 14, 2024 Accepting new patients
Fairview Express Care CurrentSince Nov 1, 2023 Accepting new patients
Fairview Express Care CurrentSince Aug 9, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care CurrentSince Aug 9, 2022 Accepting new patients
Allina Health System CurrentSince Jul 29, 2003 Accepting new patients
Fairview Health Services Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

9900 Tamarack Rd
Woodbury, MN 55125
Phone (651) 232-6700

144 S Plum St
Ellsworth, WI 54011
Phone (715) 273-5041

2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

1687 E Division St
River Falls, WI 54022
Phone (715) 425-6701

319 S Main St
River Falls, WI 54022
Phone (715) 425-6701

Interoperability endpoints

  • Direct secure messaging: klijewski491049@fairview.direct-ci.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 11

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093708588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 E DIVISION ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221571",
            "telephone_number": "715-425-6701",
            "fax_number": "715-425-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 E DIVISION ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221571",
            "telephone_number": "715-425-6701",
            "fax_number": "715-425-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIJEWSKI",
        "first_name": "KERITH",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "45696020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34285700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERITH",
            "last_name": "WILSON",
            "middle_name": "E",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in River Falls, WI

Sources for this page

Verify at the official NPI Registry.