Individual provider Active NPI

Heather A Freitag, CRNA

  • Certified Registered Nurse Anesthetist
  • Bismarck, ND
National Provider Identifier
1063457000
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R28179 Issued in ND
Practice address
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone
(701) 530-8833
Fax
(701) 530-8842
NPI assigned
Jun 16, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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 R28179 ND Primary

Addresses

Primary practice location

900 E Broadway Ave
Bismarck, ND 58501-4520

Mailing address

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-8833

Other identifiers 2

IdentifierTypeStateIssuer
13984MedicaidND
26806OtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060921000641 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870598097 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph's Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians

Practice addresses (Care Compare)

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

95 NW 2ND St
Beach, ND 58621
Phone (701) 872-3777

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Jan 16, 2006 Accepting new patients
St. Alexius Medical Center Current Accepting new patients
Mid Dakota Clinic, Inc. CurrentSince Jun 2, 2009 Accepting new patients
701 Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2020 Accepting new patients
Southwest Healthcare Services Current Accepting new patients
St. Alexius Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2006 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Sep 24, 2014 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
St Josephs Hospital and Health Center CurrentSince Sep 24, 2014 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Jan 1, 2025 Accepting new patients
St. Alexius Heart & Lung Clinic, LLC Past Accepting new patients
Bismarck Surgical Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
St Alexius Same Day Surgery Center Past Accepting new patients
Missouri Basin Anesthesia, PLLC Past Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

400 10th St E
Waconia, MN 55387

401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000

810 E Rosser Ave
Ste 102
Bismarck, ND 58501
Phone (701) 530-5000

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1063457000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014520",
            "telephone_number": "701-530-8833",
            "fax_number": "701-530-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014520",
            "telephone_number": "701-530-8833",
            "fax_number": "701-530-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R28179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13984",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26806",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.