Individual provider Active NPI

Kale Jo Kruse, WHNP

  • Women's Health Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1093523466
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
12400 Issued in MN
Practice address
14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747
Phone
(952) 249-2000
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 12400 MN Primary

Addresses

Primary practice location

14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747

Mailing address

5995 Lincoln Dr Apt 143
Edina, MN 55436-6105
Phone (320) 874-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206001597 MN Practitioner - Nurse Practitioner 6406386457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

Practice addresses (Care Compare)

111 Hundertmark Rd
Suite 440
Chaska, MN 55318-1460
Phone (952) 249-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12400MNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OBGYN of Minnesota PLLC CurrentSince Jan 13, 2025 Accepting new patients
Metropolitan Obstetrics & Gynecology PastSince Jan 12, 2025 Accepting new patients
Ridgeview Medical Center PastSince Jan 13, 2025 Accepting new patients

Locations

111 Hundertmark Rd
Ste 410
Chaska, MN 55318
Phone (952) 249-2000

111 Hundertmark Rd
Ste 440
Chaska, MN 55318
Phone (952) 249-2000

14001 Ridgedale Dr
Ste 200
Minnetonka, MN 55305
Phone (952) 249-2000

10900 Wayzata Blvd
Ste 640
Minnetonka, MN 55305

560 S Maple St
Ste 220
Waconia, MN 55387
Phone (952) 442-8011

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1093523466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 LINCOLN DR APT 143",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554366105",
            "telephone_number": "320-874-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 RIDGEDALE DR STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051747",
            "telephone_number": "952-249-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "KALE",
        "middle_name": "JO",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "12400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.