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St. Luke'S Hospital of Duluth

Organization Active NPI Obstetrics & Gynecology Physician · Duluth, MN

NPI 1124388723 · NPPES record last updated Mar 11, 2026

Key facts

NPI
1124388723
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
ST. LUKE'S HOSPITAL OF DULUTH
Practice address
1001 E Superior St Ste 301
Duluth, MN 55802-2207
Phone
(218) 722-5629
Fax
(218) 722-5148
NPI assigned
May 17, 2012
Organization subpart
No

Authorized official

Name
Lori Peck
Title
SVP- Chief Financial Officer
Phone
(715) 847-2575

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 32

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 32

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 657

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 657

Medicare Care Compare: Hospital

Listed as
St Lukes Hospital CCN 240047
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0403901St Lukes Obstetrics and Gynecology Associates
1001 East Superior Street, Suite 301, Duluth, MN 55802		Provider-performed microscopyDec 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in MN, WI

Hospital certification: CCN 240047

Legal name
ST. LUKE'S HOSPITAL OF DULUTH
Doing business as
ASPIRUS ST LUKES HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 13, 1990
Beds
267
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Enrollment address
915 E 1St St
Duluth, MN 55805-2107
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott Allen Lyons
Individual 		Corporate Officer
Board Member		 Oct 1, 2023
Kiera Marie Wilson
Individual 		Corporate Officer
Board Member		 Oct 1, 2023
Mitchell Lynn Cardwell
Individual 		Corporate Officer
Board Member		 Oct 1, 2020
Maurine Helen Settergren
Individual 		Corporate Officer
Board Member		 Oct 1, 2020
Helena Everett Jackson
Individual 		Corporate Officer
Board Member		 Oct 1, 2023
Aspirus, Inc
Organization · Wausau, WI
Corporation, Non-profit, Chain home office 		Operational/Managerial Control Mar 1, 2024 100%
Anna Christine Sackette-Urness
Individual 		Corporate Officer
Board Member		 Jun 1, 2022
James Matheson
Individual 		Corporate Officer
Board Member		 Mar 1, 2024
Jack Herman Seiler
Individual 		Corporate Officer
Board Member		 Oct 1, 2022
Nicholas J Van Deelen
Individual 		Corporate Director
President		 Jan 16, 2019
Aimee Nelson Vanstraaten
Individual 		Corporate Director
Board of Directors		 Feb 29, 2016
Lori Peck
Individual 		W-2 Managing Employee
VP - System Finance		 Mar 1, 2024
Tyler Hack
Individual 		W-2 Managing Employee
VP - System Revenue Cycle		 Mar 1, 2024
Matthew F Heywood
Individual 		W-2 Managing Employee Mar 1, 2024
Yvonne Marie Solon
Individual 		Corporate Director
Board of Directors		 Apr 27, 2015

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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
O20050404000822 MN Part a Provider - Hospital 7113834839 25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207V00000X Yes

Addresses

Primary practice location

1001 E Superior St Ste 301
Duluth, MN 55802-2207

Mailing address

1001 E Superior St Ste 301
Duluth, MN 55802-2207
Phone (218) 722-5629

Other names

  • Aspirus St Lukes Clinic Duluth Obstetrics & Gynecology Doing business as
  • Aspirus St. Luke's Clinic Duluth Obstetrics & Gynecology Doing business as

Other providers in Duluth, MN

All providers in Duluth, MN · Obstetrics & Gynecology Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.