Individual provider Active NPI

Maria Suzanne Krusemark

  • Speech-Language Pathologist
  • Saint James, MN
National Provider Identifier
1003173451
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9393 Issued in MN
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

Updated by the provider on Feb 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address mkrusemark2622870@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260413002454 MN Practitioner - Qualified Speech Language Pathologist 7113492513 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
076314IAMDRegistered Nurse
9393MNMDPhysical Therapist
8079MAMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.