NPIMap

Individual provider Active NPI

Melissa Katusky Lor, CNP

  • Adult Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1255773172
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2760 Issued in MN
Practice address
800 E 28TH St
Minneapolis, MN 55407-3799
Phone
(612) 863-4000
NPI assigned
Jul 19, 2013
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R-180483-6 MN
Adult Health Nurse Practitioner 363LA2200X 2760 MN Primary

Addresses

Primary practice location

800 E 28TH St
Minneapolis, MN 55407-3799

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkatuskylor398348@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130828000758 MN Practitioner - Nurse Practitioner 0547403263 Reassigns benefits to 10 organizations
I20241127000269 WI Practitioner - Nurse Practitioner 0547403263 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Medical Center IncGroup PAC ID 8022000447, 80 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Glencoe Regional Health ServicesGroup PAC ID 1759292980, 45 clinicians
Cuyuna Regional Medical CenterGroup PAC ID 9537146550, 133 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

1615 Maple LN
Ashland, WI 54806-3626
Phone (715) 682-5500

1615 Maple LN
Ashland, WI 54806-3689

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

1805 Hennepin Ave N
Glencoe, MN 55336-1416
Phone (320) 864-3121

1805 N Hennepin Ave
Glencoe, MN 55336-1416

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

800 E 28TH St
Suite H2100
Minneapolis, MN 55407-3723
Phone (612) 863-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2760MNMDChiropractor
R-180483-6MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince May 19, 2018 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Sep 26, 2024 Accepting new patients
Burnett Medical Center Inc Current Accepting new patients
Allina Health System Current Accepting new patients
Northfield Hospital CurrentSince Dec 5, 2024 Accepting new patients
Burnett Medical Center Inc Nurse Practitioner CurrentSince Sep 26, 2025 Accepting new patients
Northfield Hospital Current Accepting new patients
Memorial Medical Center Inc CurrentSince Jan 18, 2026 Accepting new patients
Northfield Hospital CurrentSince Dec 5, 2024 Accepting new patients
Burnett Medical Center Inc CurrentSince Sep 26, 2025 Accepting new patients
Glencoe Regional Health Services CurrentSince May 24, 2025 Accepting new patients
Glencoe Regional Health Services CurrentSince May 24, 2025 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Cuyuna Regional Medical Center CurrentSince Aug 4, 2024 Accepting new patients
Allina Health System CurrentSince Oct 22, 2024 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Aug 4, 2024 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Mar 1, 2018 Accepting new patients
Minnesota Valley Health Center Inc Current Accepting new patients
Sibley Medical Center CurrentSince Sep 26, 2024 Accepting new patients
Memorial Medical Center Inc CurrentSince Jan 18, 2026 Accepting new patients
Ridgeview Medical Center CurrentSince Sep 26, 2024 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
Allina Health System CurrentSince May 19, 2018 Accepting new patients
Allina Health System Past Accepting new patients
Quest Diagnostics LLC Il PastSince Mar 1, 2018 Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Interoperability endpoints

  • Direct secure messaging: melissakatusky-lor@direct.noranclinic.com

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1255773172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073799",
            "telephone_number": "612-863-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATUSKY LOR",
        "first_name": "MELISSA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R-180483-6",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "2760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkatuskylor398348@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "800 E 28th St",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554073723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.