Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Katusky Lor, CNP

Individual provider Nurse Practitioner · NPI 1255773172

Melissa Katusky Lor, CNP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2013, 13 years ago. Practices with Memorial Medical Center Inc, a 78-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

800 E 28th St
Minneapolis, MN 55407-3799
Phone: (612) 863-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2760 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence R-180483-6 (MN)

Record details

NPI number1255773172
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 19, 2013
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Memorial Medical Center Inc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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