Individual provider Active NPI

Melissa Marie Lachowitzer, FNP

  • Family Nurse Practitioner
  • Elk River, MN
National Provider Identifier
1679977698
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3365 Issued in MN
Practice address
800 Freeport Ave NW Ste 100a
Elk River, MN 55330-2730
Phone
(763) 581-5200
Fax
(763) 581-5201
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3365 MN Primary

Addresses

Primary practice location

800 Freeport Ave NW Ste 100a
Elk River, MN 55330-2730

Mailing address

800 Freeport Ave NW Ste 100a
Elk River, MN 55330-2730
Phone (763) 581-5200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150304001999 MN Practitioner - Nurse Practitioner 4880910116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

4181 108TH Ave NE
Blaine, MN 55449-7439
Phone (651) 430-3800

800 Freeport Ave NW
Elk River, MN 55330-2723
Phone (763) 581-2273

Hospital & facility affiliations

  • Maple Grove Hospital Hospital, Maple Grove, MN, CCN 240214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care Current Accepting new patients
North Memorial Health Care CurrentSince Feb 1, 2015 Accepting new patients

Locations

5615 Xerxes Ave N
Brooklyn Center, MN 55430
Phone (763) 581-5630

800 Freeport Ave NW
Ste 100A
Elk River, MN 55330
Phone (763) 257-8000

800 Freeport Ave NW
Ste 100
Elk River, MN 55330
Phone (763) 581-5200

9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220

9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900

8559 Edinbrook Pkwy
Minneapolis, MN 55443
Phone (763) 425-3644

327 Central Ave SE
Minneapolis, MN 55414
Phone (612) 379-1119

8301 Golden Valley Rd
Ste 100
Minneapolis, MN 55427
Phone (763) 520-2200

4209 Webber Pkwy
Minneapolis, MN 55412
Phone (763) 553-0544

2000 Plymouth Rd
Ste 100
Minnetonka, MN 55305
Phone (763) 581-5250

15535 34th Ave N
Plymouth, MN 55447
Phone (763) 581-5950

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

2600 39th Ave NE
Saint Anthony, MN 55421
Phone (612) 706-2690

Interoperability endpoints

  • Direct secure messaging: mlachowitzer80507@direct.northmemorial.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1679977698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FREEPORT AVE NW STE 100A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302730",
            "telephone_number": "763-581-5200",
            "fax_number": "763-581-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FREEPORT AVE NW STE 100A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302730",
            "telephone_number": "763-581-5200",
            "fax_number": "763-581-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHOWITZER",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "3365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.