Active NPI
Cari Jo Middelkamp IV
- Certified Registered Nurse Anesthetist
- Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R155018-0
- Practice address
- 1025 Marsh St
Mankato, MN 56001-4752 - Phone
- (507) 345-2603
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- 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 | R155018-0 | MN | Primary |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56001-4752
Mailing address
1307 Noretta Dr
North Mankato, MN 56003-3422
Phone (507) 385-8143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, NE
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R155018-0 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Imaging, LLC | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Mankato Surgical Center, L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Platte Surgery Center LLC | Current | Accepting new patients | |
| North Platte Surgery Center Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1411 Premier Dr
Mankato, MN 56001
Phone (507) 388-6000
7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475
7555 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 261-1085
621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Organizations & group practices 5
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.
-
- Ambulatory Surgical Clinic/Center
- Mankato, MN
- NPI 1720161615
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Lincoln, NE
- NPI 1437116936
-
- Anesthesiology Physician
- North Platte, NE
- NPI 1780869222
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Ambulatory Surgical Clinic/Center
- North Platte, NE
- NPI 1154316339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1023039617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 NORETTA DR",
"city": "NORTH MANKATO",
"state": "MN",
"postal_code": "560033422",
"telephone_number": "507-385-8143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014752",
"telephone_number": "507-345-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDELKAMP",
"first_name": "CARI",
"middle_name": "JO",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R155018-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.