Active NPI
David Krusemark, CRNA
- Certified Registered Nurse Anesthetist
- Fairmont, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R 084231-0
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031-4575 - Phone
- (507) 238-8555
- NPI assigned
- Dec 7, 2005
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R 084231-0 | MN | Primary |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031-4575
Mailing address
800 Medical Center Dr
PO Box 800
Fairmont, MN 56031-4575
Phone (507) 238-8555
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171208 | Medicaid | MN | |
| 20-03452 | Other | MN | MEDICA |
| 4K003KR | Other | MN | BLUE CROSS |
| MH9041027355 | Other | MN | PREFERRED ONE |
| 996066 | Medicaid | IA | |
| HP44201 | Other | MN | HEALTH PARTNERS |
| 4K003KR | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-7388
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1369 | MN | MD | Surgical Physician Assistant |
| R 084231-0 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windom Area Hospital | Current | Accepting new patients | |
| County of Murray | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Center for Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| County of Murray | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Windom Area Hospital | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| United Hospital District Inc. | Current | Accepting new patients | |
| City of Windom Ambulance | Current | Accepting new patients | |
| Sibley Medical Center | Past | Accepting new patients |
Locations
515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
717 S State St
Ste 100
Fairmont, MN 56031
Phone (507) 235-3939
717 S State St
Ste 1000
Fairmont, MN 56031
Phone (507) 235-3939
1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
1217 8th St N
New Ulm, MN 56073
Phone (507) 217-5000
101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911
2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227
400 10th St E
Waconia, MN 55387
2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Emergency Medicine Physician
- Redwood Falls, MN
- NPI 1265914048
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fairmont, MN
- NPI 1639696206
Nurse Anesthetist, Certified Registered
-
dba Sanford Jackson Medical Center
- Critical Access Hospital
- Jackson, MN
- NPI 1326069097
-
dba Allina Health Forest Lake Clinic
- Family Medicine Physician
- Forest Lake, MN
- NPI 1447556261
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba CentraCare Home Health
- Home Health Agency
- Redwood Falls, MN
- NPI 1386126167
-
- Rural Health Clinic/Center
- Redwood Falls, MN
- NPI 1396216412
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003891615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"address_2": "PO BOX 800",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-238-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-238-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSEMARK",
"first_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 084231-0",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171208",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "20-03452",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4K003KR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "MH9041027355",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "996066",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP44201",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4K003KR",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.