MS. KATHRYN LYNN HOUSELOG ANP
NPI 1053577080
Nurse Practitioner - Adult Health in St Louis Park, MN

Active since July 30, 2008PECOS EnrolledAccepts Medicare Assignment
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3700(952) 993-1750 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2022, Nov 30, 2017, Jun 28, 2016 (3 updates tracked since 2016).

About Ms. Kathryn Lynn Houselog Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHRYN LYNN HOUSELOG ANP (NPI 1053577080) is an individual adult health provider in St Louis Park, Minnesota, licensed in Minnesota (148848-5) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1053577080
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. KATHRYN LYNN HOUSELOGCredential: ANP
Location Address3850 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Fax(952) 993-1750
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 30, 2008
Last NPPES UpdateMarch 2, 20223 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1053577080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MN · 148848-5
3850 PARK NICOLLET BLVD, St Louis Park, MN 55416

Secondary Practice Location 1

Location 1910 E 26th St, Suites 100 & 200Minneapolis, MN 55404-4526 · Phone (612) 884-6300 · Fax (612) 884-6363

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathryn Lynn Houselog Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335203405
PECOS Enrollment IDI20090204000504
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services19 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
18 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Internal Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Pediatrics
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Durable Medical Equipment & Medical Supplies
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Houselog's NPI number?

The NPI number for Kathryn Houselog is 1053577080. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Where is Kathryn Houselog located?

Kathryn Houselog practices at 3850 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3700.

What is Kathryn Houselog's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathryn Houselog enrolled in Medicare?

Yes. Kathryn Houselog is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Houselog accept?

Health plans from HealthPartners and Medica list Kathryn Houselog as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathryn Houselog affiliated with any hospitals?

According to CMS data, Kathryn Houselog is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Kathryn Houselog was last updated on March 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.