Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Megan Marie Lidtke

Individual provider Physician Assistant · NPI 1245194455

Megan Marie Lidtke is a Physician Assistant in Coon Rapids, Minnesota. Graduated from Creighton University School of Medicine in 2025, 1 year ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment.

Years since qualifying
1
Trained at
Creighton University School of Medicine
In the registry since
2025
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Practice location Address checks out

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568
Phone: (763) 427-9980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1245194455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Mercy Hospital Hospital · Coon Rapids, MN

Colleagues at Allina Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3867 clinicians in the practice; 12 are shown here.

Other providers in Coon Rapids