Active NPI
Maria Suzanne Krusemark
- Speech-Language Pathologist
- Saint James, MN
National Provider Identifier
1003173451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9393
- Practice address
- 1101 Moulton and Parsons Dr
Saint James, MN 56081-5550 - Phone
- (413) 786-8000
- NPI assigned
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 076314 | IA | |
| Speech-Language Pathologist | 235Z00000X | 9393 | MN | Primary |
| Speech-Language Pathologist | 235Z00000X | 8079 | MA |
Addresses
Primary practice location
1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 375-3262
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkrusemark2622870@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
McHsmn Provider Enrollment
PO Box
Minneapolis, MN 55486-0912
PO Box
Minneapolis, MN 55486
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076314 | IA | MD | Registered Nurse |
| 9393 | MN | MD | Physical Therapist |
| 8079 | MA | MD | Speech-Language Pathologist |
Interoperability endpoints
- mkrusemark2622870@ehrdirect.mayoclinicmsg.org
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.
-
- Multi-Specialty Clinic/Center
- Saint James, MN
- NPI 1023177730
-
- Critical Access Hospital
- Saint James, MN
- NPI 1639198732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1003173451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860912",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860912",
"telephone_number": "507-375-3262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MOULTON AND PARSONS DR",
"city": "SAINT JAMES",
"state": "MN",
"postal_code": "560815550",
"telephone_number": "413-786-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSEMARK",
"first_name": "MARIA",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "076314",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "9393",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "8079",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkrusemark2622870@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1101 Moulton and Parsons Dr",
"city": "Saint James",
"state": "MN",
"country_code": "US",
"postal_code": "560815550",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint James, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
- 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.