Lisa Joan Nippoldt-Baca, PSYD, LP, ABPP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

LP5271 Issued in MN

Practice address

1937 Woodlane Drive
Suite 101
Woodbury, MN 55125

Phone

(651) 764-8480

Fax

(651) 471-9253

NPI assigned

Oct 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

92.39 of 100Reported as group

Quality

84.12

Promoting interoperability

100

Improvement activities

40

Cost

83.94

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwest Minds Assessment and Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodbury, MN
  • NPI 1376384370

  Clinical Neuropsychologist

  NPD
• Laboratory Corportation of America Holdings

  • Clinical Medical Laboratory
  • Edina, MN
  • NPI 1316442478
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1720314909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 WOODLANE DRIVE",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-764-8480",
            "fax_number": "651-471-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 WOODLANE DRIVE",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-764-8480",
            "fax_number": "651-471-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIPPOLDT-BACA",
        "first_name": "LISA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP, ABPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2024-04-25",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5271",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP5271",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lnippoldtbaca168033@direct.northmemorial.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3400 W 66th St Ste 150",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554352109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Collareno Nies, CRNA
• Madelynn Jade Nieto
• Jessica Rae Nieuwboer, PHARM.D.
• Michaela Nikolai
• Allison Nimlos
• Ned Albert Nippoldt
• Nathan J Nistler, PA-C
• Nkahjay Health LLC
• Joseph Noack, MD
• Marissa Noak, MS, CCC-SLP

• Clinical Neuropsychologist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.