Individual provider Active NPI

Kevin Peter Barsness

  • Certified Registered Nurse Anesthetist
  • Bemidji, MN
National Provider Identifier
1093762478
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R1075319 Issued in MN
Practice address
27040 County Road 9
Bemidji, MN 56601-5456
Phone
(218) 751-6405
NPI assigned
May 30, 2006
Last updated
Jan 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R1075319 MN Primary
Registered Nurse 163W00000X R1075319 MN

Addresses

Primary practice location

27040 County Road 9
Bemidji, MN 56601-5456

Mailing address

24616 Cap Endres Rd NE
Cass Lake, MN 56633-3386
Phone (218) 335-0128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000259 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800838533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer River Healthcare Center IncGroup PAC ID 1850388448, 14 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

115 10TH Ave NE
Deer River, MN 56636-8795

1542 Golf Course Rd
Suite 204
Grand Rapids, MN 55744-3537
Phone (218) 999-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deer River Healthcare Center, Inc. CurrentSince Apr 3, 2010 Accepting new patients
The Duluth Clinic LTD CurrentSince Dec 18, 2023 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Apr 3, 2010 Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Dec 18, 2023 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients

Locations

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

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

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

126 SE 1st Ave
Grand Rapids, MN 55744
Phone (218) 326-3401

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

1542 Golf Course Rd
Ste 204
Grand Rapids, MN 55744
Phone (218) 322-4900

Organizations & group practices 7

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.

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": "1199318400000",
    "number": "1093762478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24616 CAP ENDRES RD NE",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333386",
            "telephone_number": "218-335-0128"
        },
        {
            "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": [],
    "basic": {
        "last_name": "BARSNESS",
        "first_name": "KEVIN",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1075319",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1075319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 3, 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.