NPIMap

Organization Active NPI

St. Luke's Hospital of Duluth

Doing business as Aspirus St Lukes At Home Hospice Duluth

  • Community Based Hospice Care Agency
  • Duluth, MN
National Provider Identifier
1265486963
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ST. LUKE'S HOSPITAL OF DULUTH
Doing business as
Aspirus St Lukes At Home Hospice Duluth
Practice address
1011 E 1St St
Duluth, MN 55805-2242
Phone
(218) 249-6100
Fax
(218) 249-6166
NPI assigned
May 19, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1011 E 1St St
Duluth, MN 55805-2242

Mailing address

915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-6100

Other names 1

  • Aspirus St Lukes At Home Hospice Duluth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

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…
O20070709000276 MN Part A Provider - Hospice 7113834839 Practice locations: Duluth, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265486963. Details of each certification follow.

Hospice certification: CCN 241524

Legal name
ST. LUKE'S HOSPITAL OF DULUTH
Doing business as
ASPIRUS ST LUKES AT HOME HOSPICE DULUTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 6, 1992
Last certification
Jun 17, 2010
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Apr 6, 1883 in MN
Enrollment address
1011 E 1St St
Duluth, MN 55805-2242

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Aspirus St. Luke's at Home-Hospice-DuluthCCN 241524 · All quality measures
Ownership
Non-Profit
Certified
May 6, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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 OfficerBoard Member Oct 1, 2023
Mitchell Lynn Cardwell Individual Corporate DirectorBoard Member Oct 1, 2020
Maurine Helen Settergren Individual Corporate DirectorBoard Member Oct 1, 2020
Helena Everett Jackson Individual Corporate DirectorBoard Member Oct 1, 2023
Aspirus, Inc Organization, Wausau, WI 5% Or Greater Direct Ownership Interest Mar 1, 2024 100%
Operational/Managerial Control Mar 1, 2024 100%
Anna Christine Sackette-Urness Individual Corporate DirectorBoard Member Jun 1, 2022
James Matheson Individual Corporate DirectorBoard Member Mar 1, 2024
Jack Herman Seiler Individual Corporate OfficerBoard Member Oct 1, 2022
Corporate DirectorBoard Member Oct 1, 2022
Nicholas J Van Deelen Individual Corporate OfficerPresident Jan 1, 2020
W-2 Managing EmployeeMD; Jul 1, 2021
Aimee Nelson Vanstraaten Individual Corporate DirectorBoard of Directors Feb 29, 2016
Lori Peck Individual Corporate OfficerVP - System Revenue Cycle Feb 11, 2026
W-2 Managing EmployeeVP - System Revenue Cycle Mar 1, 2024
Tyler Hack Individual W-2 Managing Employee Mar 1, 2024
Matthew F Heywood Individual Corporate OfficerPresident & Ceo May 8, 2024
W-2 Managing EmployeePresident and Ceo Mar 1, 2024
Yvonne Marie Solon Individual Corporate DirectorBoard of Directors Apr 27, 2015

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aspirus Lake View HospitalTwo Harbors, MN, CCN 241308 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010
Aspirus Lake View HospitalTwo Harbors, MN, CCN 24Z308 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 79

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 79

Practitioners & affiliated clinicians

Affiliated clinicians 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1265486963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052107",
            "telephone_number": "218-249-6100",
            "fax_number": "218-249-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052242",
            "telephone_number": "218-249-6100",
            "fax_number": "218-249-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOSPITAL OF DULUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SVP- CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2575"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus St Lukes At Home Hospice Duluth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.