Lisa M Benish, PA
Individual provider Active NPI Physician Assistant · Richfield, MN
NPI 1679534382 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1679534382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 9642 (MN)
- Practice address
- 790 W 66TH St
Richfield, MN 55423-2203 - Phone
- (612) 873-6963
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hennepin Healthcare System Inc
Practice addresses (Care Compare)
2810 Nicollet Ave
Minneapolis, MN 55408-4708
Phone (612) 873-6963
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
790 W 66TH St
Richfield, MN 55423-2203
Phone (612) 873-6963
Hospital & facility affiliations
- Hennepin County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051028000433 | MN | Practitioner - Physician Assistant | 1153348115 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9642 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current |
Accepting new patients | |
| Hennepin Healthcare System Inc | Current |
Accepting new patients | |
| West Side Community Health Services, Inc. | Current |
Accepting new patients | |
| Hennepin Healthcare System, Inc | Current |
Accepting new patients | |
| Open Cities Health Center, Inc. | Past | Accepting new patients | |
| Hennepin Faculty Associates | Past | Accepting new patients | |
| Open Cities Health Center, Inc. | Past | Accepting new patients |
Locations
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
790 W 66th St
Richfield, MN 55423
Phone (612) 352-5810
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDHIBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9642 | MN | Yes |
Addresses
Primary practice location
790 W 66TH St
Richfield, MN 55423-2203
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000
Other practice location 1
153 Cesar Chavez St
W. St. Paul, MN 55107-2226
Phone (651) 222-1816
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0120453 | Other | MN | MEDICA |
| 348S4BE | Other | MN | BCBS |
| NA9021034915 | Other | MN | PREFERRED ONE |
| 141859 | Other | MN | UCARE |
| HP35662 | Other | MN | HEALTH PARTNERS |
| 044599100 | Medicaid | MN |
Other providers in Richfield, MN
- Shawna Lorraine Bartelmehs
- Matthew Stephen Baumgardner
- Jack Gray Beaird
- Mary Petrosko Becker
- Ava C Bednarz
- Monique Benson
- Rebecca Leigh Benson
- Gretchen Kativa Berg
- Paul Eugene Berg
- Brock WR Bergman
All providers in Richfield, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.