Joseph Michael Klick, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0799010 Issued in MN

Practice address

717 S State St
Ste 100
Fairmont, MN 56031-4470

Phone

(507) 235-3939

NPI assigned

May 23, 2005

Last updated

Apr 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Pain Management, P.a.Group PAC ID 8820008832, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

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.

• Center for Pain Management, P.a.

  • Specialist
  • Sartell, MN
  • NPI 1215977079
  Medicare reassignment Care Compare group NPD
• Center for Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Fairmont, MN
  • NPI 1639696206

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Glacial Ridge Hospital District

  dba Brooten Medical Center

  • Family Medicine Physician
  • Brooten, MN
  • NPI 1255348223
  Medicare reassignment NPD
• Regional Anesthesia Services PA

  • Anesthesiology Physician
  • Minnetonka, MN
  • NPI 1073621850
  Medicare reassignment NPD
• Joseph Klick

  • Certified Registered Nurse Anesthetist
  • Fairmont, MN
  • NPI 1861632770

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Glacial Ridge Hospital District

  dba Starbuck Medical Center

  • Rural Health Clinic/Center
  • Starbuck, MN
  • NPI 1063952026
  NPD
• Glacial Ridge Hospital District

  • Critical Access Hospital
  • Glenwood, MN
  • NPI 1538178520
  NPD
• Glacial Ridge Hospital District

  dba Glenwood Medical Center

  • Family Medicine Physician
  • Glenwood, MN
  • NPI 1649285172
  NPD

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1073516266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S STATE ST",
            "address_2": "STE 100",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314470",
            "telephone_number": "507-235-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLICK",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R0799010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "1103036",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MN",
            "identifier": "27G81KL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "143425200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177742400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "2552",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MC",
            "identifier": "430056096",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Alexander Kawecki, CRNA
• Brendan John Kiefer, MD
• Hyun Il Kim, MD
• Kevin A Kimm, D.O.
• Fidelis Musau Kiungua, NURSE PRACTITIONER
• Sara Louise Kolbe, PHARMD
• Durga Komaragiri, M.D.
• Carol Koskovich, RD
• Krisma Counseling Inc.
• David Krusemark, CRNA

• Certified Registered Nurse Anesthetist in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.