Active NPI
Katie Marie Halder, RN, CNP
- Nurse Practitioner
- Lake City, MN
National Provider Identifier
1396971461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 434
- Practice address
- 500 W Grant St
Lake City, MN 55041-1143 - Phone
- (651) 345-3321
- NPI assigned
- Jun 3, 2009
- Last updated
- Oct 19, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 434 | MN | Primary |
| Family Nurse Practitioner | 363LF0000X | R156915-5 | MN | |
| Community Health Registered Nurse | 163WC1500X | R 156915-5 | MN |
Addresses
Primary practice location
500 W Grant St
Lake City, MN 55041-1143
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511
Other practice location 1
109 W Jessie St
Rushford, MN 55971-8837
Phone (507) 864-7726
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khalder272018@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 156915-5 | MN | MD | Community Health Registered Nurse |
| R156915-5 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Lake City | Current | Accepting new patients | |
| Mayo Clinic Health System-Lake City | Current | Accepting new patients | |
| Winona Health Services | Past | Accepting new patients |
Locations
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
Interoperability endpoints
- khalder272018@ehrdirect.mayoclinicmsg.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Lake City, MN
- NPI 1164463659
-
- Critical Access Hospital
- Lake City, MN
- NPI 1538113022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1396971461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860912",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860912",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W GRANT ST",
"city": "LAKE CITY",
"state": "MN",
"postal_code": "550411143",
"telephone_number": "651-345-3321"
}
],
"practiceLocations": [
{
"address_1": "109 W Jessie St",
"address_purpose": "LOCATION",
"city": "Rushford",
"state": "MN",
"postal_code": "559718837",
"country_code": "US",
"telephone_number": "507-864-7726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALDER",
"first_name": "KATIE",
"middle_name": "MARIE",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "434",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R156915-5",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MN",
"license": "R 156915-5",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khalder272018@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "500 W Grant St",
"city": "Lake City",
"state": "MN",
"country_code": "US",
"postal_code": "550411143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake City, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.