NPIMap

Individual provider Active NPI

Lincoln Paul Likness, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Hudson, WI
National Provider Identifier
1295914299
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
49791 Issued in WI
Practice address
2651 Hillcrest Drive
Hudson, WI 54016-4439
Phone
(715) 531-6800
Fax
(715) 531-6801
NPI assigned
Oct 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 49791-021 WI
Sports Medicine (Family Medicine) Physician 207QS0010X 49791 WI Primary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 49791 WI

Addresses

Primary practice location

2651 Hillcrest Drive
Hudson, WI 54016-4439

Mailing address

2651 Hillcrest Drive
Suite 303
Hudson, WI 54016-4439
Phone (715) 531-6800

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
I20101103000916 WI Practitioner - Family PracticePractitioner - Other (Physician) 7911043567 Reassigns benefits to 1 organization
I20170623002363 MN Practitioner - Family PracticePractitioner - Sports Medicine 7911043567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City College of Medicine and Surgery, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Physicians SC 62 clinicians

Practice addresses (Care Compare)

2651 Hillcrest Dr
Hudson, WI 54016-4439
Phone (715) 531-6800

8650 Hudson Blvd N
Suite 235
Lake Elmo, MN 55042-8480
Phone (715) 531-6800

Hospital & facility affiliations

  • River Falls Area Hospital Hospital, River Falls, WI, CCN 521349
  • Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308
  • Hudson Hospital Hospital, Hudson, WI, CCN 521335
  • Westfields Hospital and Clinic Hospital, New Richmond, WI, CCN 521345
  • Western Wisconsin Health Hospital, Baldwin, WI, CCN 521347

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49791WIMDSports Medicine (Neuromusculoskeletal Medicine) Physician
49791-021WIMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Physicians, S.C. CurrentSince Oct 1, 2013 Accepting new patients
Hudson Physicians, S.C. CurrentSince Oct 1, 2013 Accepting new patients
East Metro ASC LLC CurrentSince Jun 1, 2017 Accepting new patients
Hudson Physicians, S.C. Sports Medicine CurrentSince Jul 31, 2018 Accepting new patients

Locations

8650 Hudson Blvd N
Ste 235
Lake Elmo, MN 55042
Phone (651) 203-4673

8325 City Centre Dr
Ste 140
Woodbury, MN 55125
Phone (651) 731-0859

840 Spruce St
Baldwin, WI 54002
Phone (715) 235-4274

2310 Crest View Dr
Hudson, WI 54016
Phone (715) 381-5923

403 Stageline Rd
Hudson, WI 54016
Phone (715) 386-8880

2651 Hillcrest Dr
Ste 303
Hudson, WI 54016

2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648

525 N Knowles Ave
New Richmond, WI 54017
Phone (715) 386-1155

Organizations & group practices 4

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.

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": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1295914299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 HILLCREST DRIVE",
            "address_2": "SUITE 303",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164439",
            "telephone_number": "715-531-6800",
            "fax_number": "715-531-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 HILLCREST DRIVE",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164439",
            "telephone_number": "715-531-6800",
            "fax_number": "715-531-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKNESS",
        "first_name": "LINCOLN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WI",
            "license": "49791-021",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WI",
            "license": "49791",
            "primary": true
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "WI",
            "license": "49791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.