Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760927784 Individual Practitioner Female Practitioner

Dr. Lisa Wilke , PsyD

Psychologist • Champlin, MN

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Wilke, PsyD is a certified Psychologist practicing in Champlin, MN. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Wilke delivers high-quality medical care to the local community at 11269 JEFFERSON HWY N.

Dr. Wilke does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11269 Jefferson Hwy N

Champlin, MN 553163123

Telephone 7632360600
Fax 7632360790
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1871899674

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Champlin, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs Matches City Avg
City Avg: 10.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Champlin, MN (1833 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilke (10 Years) 10 Yrs
Champlin Specialty Average (10.0 Years) 10.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-01
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP6237

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Dr. Carla Schultz , MD

Internal Medicine

NPI 1003100595

Doctor of Medicine (M.D.)

Dr. Timothy Trude , MD

Family Medicine

NPI 1023074259

Doctor of Medicine (M.D.)

NPI 1033145636

Doctor of Medicine (M.D.)

Dr. Anne Kern , MD

Obstetrics & Gynecology

NPI 1063474054

Doctor of Medicine (M.D.)

Ellen Hanson , CNP

Nurse Practitioner

NPI 1073318598

Certified Nurse Practitioner

Dr. Eftu Boru , MD

Family Medicine

NPI 1174055131

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 01, 2025

Registered at 11269 JEFFERSON HWY N, CHAMPLIN, MN 553163123 (Tel: 7632360600)

📍
Updated Business Mailing Address April 01, 2025

Registered at PO BOX 206, MINNEAPOLIS, MN 554800206 (Tel: 6122629000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Psychologist (License #LP6237 in MN)

NPI Profile Active January 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2018

Registered at 11855 ULYSSES ST NE STE 40, BLAINE, MN 554343947 (Tel: 7636919032)

📍
Updated Business Mailing Address January 05, 2018

Registered at 11855 ULYSSES ST NE STE 40, BLAINE, MN 554343947 (Tel: 7636919032)

👤
Provider Name / Credentials Updated January 05, 2018

Recorded as LISA WILKE, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2018

Psychologist

NPI Profile Active December 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2016

Registered at 1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 554334708 (Tel: 7637465068)

📍
Updated Business Mailing Address December 29, 2016

Registered at 1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 554334708 (Tel: 7637465068)

👤
Provider Name / Credentials Updated December 29, 2016

Recorded as LISA WILKE, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2016

Psychologist

🟢
Initial NPI Registration & Enumeration December 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760927784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2016
Last Update: April 01, 2025
Sole Proprietor: No

Mailing Address

Po Box 206

Minneapolis, MN 554800206

Phone: 6122629000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.