Individual provider Active NPI

Lori L W Melby, MD

  • Family Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1982705059
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37268 Issued in MN
Practice address
5450 Lyndale Ave S
Minneapolis, MN 55419-1718
Phone
(888) 290-1209
Fax
(833) 973-3528
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37268 MN Primary

Addresses

Primary practice location

5450 Lyndale Ave S
Minneapolis, MN 55419-1718

Mailing address

1981 Raspberry LN
Shakopee, MN 55379-4584
Phone (612) 868-6967

Other practice location 1

1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 993-7750

Other names 1

  • Lori Lynn Wischnack Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lori.melby.1@31254.direct.athenahealth.com Direct Herself Health MN PC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080111000516 MN Practitioner - Family Practice 6002870755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mayo Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Herself Health MN PCGroup PAC ID 6507234820, 31 clinicians

Practice addresses (Care Compare)

5450 Lyndale Ave S
Minneapolis, MN 55419-1718
Phone (612) 256-8225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Herself Health MN PC Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
Ridgeview Medical Center Family Medicine PastSince Aug 9, 2023 Accepting new patients

Locations

5450 Lyndale Ave S
Minneapolis, MN 55419
Phone (612) 256-8225

2004 Ford Pkwy
Saint Paul, MN 55116
Phone (612) 256-8225

Interoperability endpoints

  • Direct secure messaging: lori.melby.1@31254.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/31254/brand/1/csg/1/fhir/r4

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1982705059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 RASPBERRY LN",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794584",
            "telephone_number": "612-868-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191718",
            "telephone_number": "888-290-1209",
            "fax_number": "833-973-3528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Saint Francis Ave",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553793374",
            "country_code": "US",
            "telephone_number": "952-993-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELBY",
        "first_name": "LORI",
        "middle_name": "L W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "37268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lori.melby.1@31254.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Herself Health MN PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2004 Ford Pkwy",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551161931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WISCHNACK",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.