Lisa Berntson Dornick, PNP - Nurse Practitioner in Minneapolis, MN

Lisa Berntson Dornick, PNP is a Nurse Practitioner - Pediatrics based in Minneapolis, Minnesota. Lisa Berntson Dornick is licensed to practice in Minnesota (license number R-101808-8) and her current practice location is 250 S 4th St, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 673-2301.

NPI number for Lisa Berntson Dornick is 1992743884 and her current mailing address is 250 S 4th St, Room 250, Minneapolis, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992743884.

Contact Information

Lisa Berntson Dornick, PNP
250 S 4th St,
Minneapolis, MN 55415-1384
(612) 673-2301
(612) 673-3866

Map and Direction




Provider's Profile

Full NameLisa Berntson Dornick
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location250 S 4th St, Minneapolis, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992743884
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 09/21/2012

Medical Identifiers

Medical identifiers for Lisa Berntson Dornick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992743884NPI-NPPES
782314200MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics R-101808-8 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Berntson Dornick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Berntson Dornick, PNP
250 S 4th St, Room 250,
Minneapolis, MN 55415-1384

Ph: (612) 673-2301
Lisa Berntson Dornick, PNP
250 S 4th St,
Minneapolis, MN 55415-1384

Ph: (612) 673-2301

Reviews and Comments


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