Active NPI
Fayja Lichtenberg
- Physician Assistant
- Duluth, MN
National Provider Identifier
1750197547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1001 E Superior St Ste 201
Duluth, MN 55802-2228 - Phone
- (218) 249-5190
- NPI assigned
- Dec 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1001 E Superior St Ste 201
Duluth, MN 55802-2228
Mailing address
2217 Susquehanna Ave
Superior, WI 54880-4526
Phone (218) 591-3806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Luke'S Hospital of Duluth
Practice addresses (Care Compare)
1001 E Superior St
Suite 201
Duluth, MN 55802-2228
Phone (218) 249-7980
2201 Lake Shore Dr E
Ashland, WI 54806-2331
Phone (715) 685-6600
Hospital & facility affiliations
- St Lukes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
-
- General Acute Care Hospital
- Superior, WI
- NPI 1629017793
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Duluth, MN
- NPI 1093769796
Hospital
-
- Vascular & Interventional Radiology Physician
- Duluth, MN
- NPI 1124732110
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1750197547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 SUSQUEHANNA AVE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548804526",
"telephone_number": "218-591-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E SUPERIOR ST STE 201",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022228",
"telephone_number": "218-249-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTENBERG",
"first_name": "FAYJA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-05",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.