Kristy Jordan Lichtenberg, PA
NPI 1134637986ActiveIndividual· Physician Assistant· St Paul, MN
Physician Assistant (PA) with Allina Health System, practicing in St Paul, Minnesota. 71 Medicare patients in 2024, $5,297 paid; nearly all of their 204 Part D prescriptions were generic (97%). Lists Abbott Northwestern Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1134637986 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 15, 2018 |
| Last updated in NPPES | Dec 14, 2023 |
| Certified by provider | Dec 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 12632 | MN |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 107 across 29 procedure codes |
| Paid by Medicare | $5,297 |
Part D prescriptions in 2024
| Prescriptions (claims) | 204 · 211 30-day fills |
|---|---|
| Patients | 117 |
| Total drug cost | $1,130 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
Hospital affiliations
- Abbott Northwestern HospitalMinneapolis, MN
- Allina United HospitalSaint Paul, MN
- Mercy HospitalCoon Rapids, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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