St. Luke'S Hospital of Duluth
Organization Active NPI Certified Registered Nurse Anesthetist · Duluth, MN
NPI 1003860792 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1003860792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- ST. LUKE'S HOSPITAL OF DULUTH
- Practice address
- 915 E 1St St
Duluth, MN 55805-2107 - Phone
- (218) 249-5353
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Lori Peck
- Title
- SVP- Chief Financial Officer
- Phone
- (715) 847-2575
Owned or controlled facilities with NPI records 4
Other NPIs on the same Medicare enrollment 11
Other NPIs with the same Medicare PAC ID 8
Practitioners 420
-
Shawn Celeste Baker, CRNA
-
Andrea L Benson, M.D.
-
Emily Kathryn Eash, CRNA
-
Andrew A Hollatz, M.D.
-
Benjamin M Johnsen, CRNA
-
David Lloyd Johnson, CRNA
-
Jason Scott Johnson, M.D.
-
Mirko Krolo, M.D.
-
Todd S Lind, CRNA
-
Diane M. McCaffrey, M.D.
-
Ross Leksell Peterson, CRNA
-
Luke D Stoltzfus, MD
-
Loann Hellen Stone, CRNA
-
Kathryn Freeman Welles, APRN, CRNA
-
Justin David Heser, M.D.
-
Sara Jane Morgan, APRN, CRNA
-
Julie M. Rogers, M.D.
-
Sarah June Solomon, CRNA
-
Jesse Stokke, APRN, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MN, WI
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Aspirus Lake View Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2010 |
| Aspirus Lake View Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000212 | MN | Part B Supplier - Clinic/Group Practice | 7113834839 |
Receives reassigned benefits from 584 practitioners This NPI is an additional NPI on the enrollment Practice locations: Grand Rapids, MN; Duluth, MN; Hibbing, MN; Moose Lake, MN; Proctor, MN; Silver Bay, MN; Two Harbors, MN; Virginia, MN… |
| O20040323000234 | WI | Part B Supplier - Clinic/Group Practice | 7113834839 |
Receives reassigned benefits from 88 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ashland, WI; Washburn, WI; Superior, WI; South Range, WI; Mellen, WI |
| O20080115000253 | WI | Part B Supplier - Clinic/Group Practice | 7113834839 |
Receives reassigned benefits from 26 practitioners Practice locations: Superior, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
915 E 1St St
Duluth, MN 55805-2107
Mailing address
915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5353
Other names
- Aspirus St Lukes Hospital Anesthesia
- Aspirus St. Luke's Hospital Anesthesia
Other providers in Duluth, MN
- St. Francis Health Services of Morris, Inc
- Jody Ann St. George Tucker
- Chad James St. Germain
- St. Louis County Public Health
- St. Luke'S Hospital
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
All providers in Duluth, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.