Active NPI
Lynda K Kruckeberg, WHCNP
- Women's Health Nurse Practitioner
- Mankato, MN
National Provider Identifier
1144290719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R116090-7
- Practice address
- 310 Belle Ave
Mankato, MN 56001-5287 - Phone
- (507) 387-5581
- NPI assigned
- Jan 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R116090-7 | MN | Primary |
Addresses
Primary practice location
310 Belle Ave
Mankato, MN 56001-5287
Mailing address
1402 Parkside LN
North Mankato, MN 56003-3232
Phone (507) 386-0066
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28737 | Other | SIOUX VALLEY HEALTH PLAN | |
| 120812 | Other | UCARE | |
| 287R2KR | Other | MN | BCBS MN |
| 1017704 | Other | PREFERRED ONE | |
| 07-03374 | Other | MEDICA | |
| HP23670 | Other | HEALTH PARTNERS | |
| 1836755 | Other | AMERICA'S PPO (ARAZ) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R116090-7 | MN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144290719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 PARKSIDE LN",
"city": "NORTH MANKATO",
"state": "MN",
"postal_code": "560033232",
"telephone_number": "507-386-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 BELLE AVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015287",
"telephone_number": "507-387-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUCKEBERG",
"first_name": "LYNDA",
"middle_name": "K",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "R116090-7",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLAN",
"identifier": "28737",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "120812",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "287R2KR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1017704",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "07-03374",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP23670",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO (ARAZ)",
"identifier": "1836755",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.