Individual provider Active NPI

Kari Joy Heyn, CRNA

  • Certified Registered Nurse Anesthetist
  • Bemidji, MN
National Provider Identifier
1083661466
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3951-33 Issued in WI
Practice address
27040 County Road 9
Bemidji, MN 56601-5456
Phone
(218) 751-6405
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R1542130 MN
Certified Registered Nurse Anesthetist 367500000X 3951-33 WI Primary
Registered Nurse 163W00000X R1542130 MN

Addresses

Primary practice location

27040 County Road 9
Bemidji, MN 56601-5456

Mailing address

1119 20TH St
Baraboo, WI 53913-3346
Phone (218) 308-1048

Other practice location 1

845 Parkside St
Ripon, WI 54971-8505
Phone (920) 748-3101

Other practice location 2

620 W Brown St
Waupun, WI 53963-1702
Phone (920) 324-5581

Other identifiers 1

IdentifierTypeStateIssuer
054988600MedicaidMN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kheyn259201@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000759 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810903614 Reassigns benefits to 11 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
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
SSM Health Care of Wisconsin IncGroup PAC ID 8527977867, 19 clinicians

Practice addresses (Care Compare)

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400

Hospital & facility affiliations

  • SSM Health St Clare Hospital - Baraboo Hospital, Baraboo, WI, CCN 520057
  • Aspirus Divine Savior Hospital Hospital, Portage, WI, CCN 520041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1542130MNMDRegistered Nurse
3951-33WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Edgerton Hospital and Health Services Inc CurrentSince Sep 1, 2024 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 6, 2019 Accepting new patients
Agnesian Healthcare Inc CurrentSince Jul 10, 2023 Accepting new patients
SSM Health Care of Wisconsin Inc Current Accepting new patients
SSM Health Care of Wisconsin, Inc. CurrentSince Jan 18, 2010 Accepting new patients
Mile Bluff Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 6, 2019 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Association of Hospital Anesthesiologists SC CurrentSince Jun 1, 2020 Accepting new patients
SSM Health Care of Wisconsin, Inc. Current Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Oct 3, 2012 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Sep 1, 2024 Accepting new patients
SSM Health Care of Wisconsin Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2010 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jul 1, 2014 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Oct 1, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2015 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Oct 3, 2012 Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Jul 10, 2023 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jul 1, 2014 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

7153 Solutions Ctr
Chicago, IL 60677

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

845 Parkside St
Ripon, WI 54971
Phone (920) 748-3101

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581

Organizations & group practices 23

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.

View all 23

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1083661466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 20TH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539133346",
            "telephone_number": "218-308-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27040 COUNTY ROAD 9",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015456",
            "telephone_number": "218-751-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Parkside St",
            "address_purpose": "LOCATION",
            "city": "Ripon",
            "state": "WI",
            "postal_code": "549718505",
            "country_code": "US",
            "telephone_number": "920-748-3101",
            "fax_number": "920-926-4875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 W Brown St",
            "address_purpose": "LOCATION",
            "city": "Waupun",
            "state": "WI",
            "postal_code": "539631702",
            "country_code": "US",
            "telephone_number": "920-324-5581",
            "fax_number": "920-926-4875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEYN",
        "first_name": "KARI",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1542130",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "3951-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1542130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054988600",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kheyn259201@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kheyn259201@direct-ehr-ssmhc.com",
            "address_1": "620 W Brown St",
            "city": "Waupun",
            "state": "WI",
            "country_code": "US",
            "postal_code": "539631702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "620 W Brown St",
            "city": "Waupun",
            "state": "WI",
            "country_code": "US",
            "postal_code": "539631702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.