Individual provider Active NPI

Bertil Lindquist

  • Certified Registered Nurse Anesthetist
  • Saint Cloud, MN
National Provider Identifier
1033625561
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2030308 Issued in MN
Practice address
3701 12TH St N Ste 202
Saint Cloud, MN 56303-2253
Phone
(320) 258-3090
Fax
(320) 258-3095
NPI assigned
Dec 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2030308 MN Primary

Addresses

Primary practice location

3701 12TH St N Ste 202
Saint Cloud, MN 56303-2253

Mailing address

3701 12TH St N Ste 202
Saint Cloud, MN 56303-2253
Phone (320) 258-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180212000798 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597025619 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians

Practice addresses (Care Compare)

1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2158MNMDNurse Practitioner
2030308MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Anesthesia P.a Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince May 1, 2022 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
St. Joseph's Medical Center CurrentSince Dec 6, 2021 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Sep 19, 2023 Accepting new patients
St Joseph's Medical Center CurrentSince Dec 6, 2021 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince May 1, 2022 Accepting new patients
Northland Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Range Regional Health Services CurrentSince Sep 1, 2023 Accepting new patients
Range Regional Health Services CurrentSince Sep 1, 2023 Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

10 5th St SE
Cook, MN 55723
Phone (218) 626-3441

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650

2118 London Rd
Duluth, MN 55812
Phone (218) 481-7812

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1542 Golf Course Rd
Ste 105
Grand Rapids, MN 55744
Phone (218) 326-0667

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

400 10th St E
Waconia, MN 55387

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1033625561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 12TH ST N STE 202",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032253",
            "telephone_number": "320-258-3090",
            "fax_number": "320-258-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 12TH ST N STE 202",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032253",
            "telephone_number": "320-258-3090",
            "fax_number": "320-258-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDQUIST",
        "first_name": "BERTIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "2030308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.

Verify at the official NPI Registry.