Lydia M Houska

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12227 Issued in MN

Practice address

2428 E 117TH St
Burnsville, MN 55337-1269

Phone

(612) 444-3000

Fax

(612) 444-9000

NPI assigned

Mar 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Pain Relief and Wellness Center PLLCGroup PAC ID 7517198211, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Valley Pain Relief and Wellness Center, PLLC

  • Psychologist
  • Burnsville, MN
  • NPI 1851922819
  Medicare reassignment Care Compare group NPD
• Valley Pain Relief and Wellness Center, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Burnsville, MN
  • NPI 1871915470
  NPD
• Valley Pain Relief and Wellness Center, PLLC

  • Medical Laboratory Technician
  • Burnsville, MN
  • NPI 1982223566
  NPD (past)

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1982454336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-444-3000",
            "fax_number": "612-444-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSKA",
        "first_name": "LYDIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2155157",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Horizon Mental Health Services LLC
• James Wendel Horst, D.D.S.
• Samantha Leigh Hoss
• Laura Houlton, LAMFT
• Reuben Houser
• Stephen Hovda, DDS
• Sharell Howard
• Zabrina Howard
• Stephanie Howe
• HRB Inc.

• Family Nurse Practitioner in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.