IndividualActive
Susan Kissell, RN, CNP
NPI 1245249259 · Gerontology Nurse Practitioner · Minnetonka, MN
Provider details
- NPI number
- 1245249259
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- R0665283 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Carlson Parkway
Minnetonka, MN 55305-5387
Phone: (952) 992-3612
Street-level locationGet directions
Mailing address
5510 Mount Normandale Curv
Bloomington, MN 55437-1022
Registry dates
- Enumerated
- 2006-08-07
- Last updated
- 2011-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.