Active NPI
Lisa Jeannie Schneider, M.D.
- Diagnostic Radiology Physician
- Edina, MN
National Provider Identifier
1720028806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 42569
- Practice address
- 7505 Metro Blvd Ste 400
Edina, MN 55439 - Phone
- (612) 573-2200
- Fax
- (612) 573-2274
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 42569 | MN | Primary |
Addresses
Primary practice location
7505 Metro Blvd Ste 400
Edina, MN 55439
Mailing address
7505 Metro Blvd Ste 400
Edina, MN 55439-3010
Phone (612) 573-2200
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268647300 | Medicaid | MN | |
| 300114920 | Other | MN | RAILROAD MEDICARE MN |
| 2157834 | Medicaid | IA | |
| 90D70SC | Other | MN | BLUE CROSS |
| 150725 | Other | MN | UCARE |
| 296S9SC | Other | MN | BLUE CROSS |
| HP31215 | Other | MN | HEALTHPARTNERS |
| 1024745 | Other | MN | PREFERRED ONE |
| 796823 | Other | MN | AMERICA'S PPO |
| 34507500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consulting Radiologists, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Quest Diagnostics LLC Il | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1659339216
-
- Clinical Medical Laboratory
- Chicago, IL
- NPI 1669298055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720028806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 METRO BLVD STE 400",
"city": "EDINA",
"state": "MN",
"postal_code": "554393010",
"telephone_number": "612-573-2200",
"fax_number": "612-573-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 METRO BLVD STE 400",
"city": "EDINA",
"state": "MN",
"postal_code": "55439",
"telephone_number": "612-573-2200",
"fax_number": "612-573-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "LISA",
"middle_name": "JEANNIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "42569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268647300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE MN",
"identifier": "300114920",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2157834",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "90D70SC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "150725",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "296S9SC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP31215",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1024745",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "796823",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34507500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.