St. Luke'S Hospital of Duluth
Organization Active NPI Clinic/Center · Duluth, MN
NPI 1275005498 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1275005498
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ST. LUKE'S HOSPITAL OF DULUTH
- Practice address
- 1000 E 1St St Ste 204
Duluth, MN 55805-2297 - Phone
- (218) 249-3306
- NPI assigned
- Dec 28, 2018
- Organization subpart
- No
Authorized official
- Name
- Lori Peck
- Title
- SVP- Chief Financial Officer
- Phone
- (715) 847-2575
Corporate family (same tax ID) 48
Practitioners 14
-
Leslee J Jaeger, M.D.
-
Fidelis Musau Kiungua, NURSE PRACTITIONER
-
Elizabeth A Maas, APRN, CNP
-
Jenna R Porter, RD
-
Sarah Mai Truong, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Tax ID family
- St Lukes Hospital of Duluth
Locations
4190 Loberg Ave
Hermantown, MN 55811
Phone (218) 249-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1000 E 1St St Ste 204
Duluth, MN 55805-2297
Mailing address
1000 E 1St St Ste 204
Duluth, MN 55805-2297
Phone (218) 249-3306
Other names
- Aspirus St Lukes Clinic Duluth Wound Care & Hyperbaric Center
- Aspirus St. Luke's Clinic Duluth Wound Care & Hyperbaric Center
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.