Active NPI
Samantha Greensky Pykkonen, CRNA
- Certified Registered Nurse Anesthetist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1011
- Practice address
- 915 E 1St St
Duluth, MN 55805-2107 - Phone
- (218) 249-5555
- NPI assigned
- Nov 12, 2008
- Last updated
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R144371-8 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 1011 | MN | Primary |
Addresses
Primary practice location
915 E 1St St
Duluth, MN 55805-2107
Mailing address
915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI, ND, ID
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2422 20TH St SW
Jamestown, ND 58401-6201
6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1011 | MN | MD | Marriage & Family Therapist |
| R144371-8 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Hospital Association | Current | Accepting new patients | |
| St. Luke's Hospital of Duluth | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Cook County Hospital District | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Luke's Hospital of Duluth | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| St. Luke's Hospital of Duluth | Current | Accepting new patients | |
| North Shore Anesthesia P.a | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
515 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-3040
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
49725 County 83
Staples, MN 56479
Phone (218) 894-1033
2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
Organizations & group practices 16
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.
-
- Critical Access Hospital
- Cloquet, MN
- NPI 1003869082
-
dba Cook County North Shore Hospital and Care Center
- Critical Access Hospital
- Grand Marais, MN
- NPI 1487712493
-
dba Lakewood Clinic Staples
- Rural Health Clinic/Center
- Staples, MN
- NPI 1841280823
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Duluth, MN
- NPI 1922051291
Nurse Anesthetist, Certified Registered
-
dba Aspirus St Lukes Hospital Inpatient Rehab
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
-
dba Jamestown Regional Medical Center
- Critical Access Hospital
- Jamestown, ND
- NPI 1548256753
-
dba Tamarack Health Ashland Medical Center
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
dba Jamestown Regional Medical Center Physician Group
- Emergency Medicine Physician
- Jamestown, ND
- NPI 1821044652
-
dba Longbella Drug by Lakewood Health System - Pillager Clinic
- Community/Retail Pharmacy
- Pillager, MN
- NPI 1396519906
-
dba Aspirus Palliative Medicine - Minnesota
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cook County North Shore Hospital and Care Center
- Critical Access Hospital
- Grand Marais, MN
- NPI 1487712493
-
dba Jamestown Regional Medical Center
- Critical Access Hospital
- Jamestown, ND
- NPI 1548256753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1093969453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052107",
"telephone_number": "218-249-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052107",
"telephone_number": "218-249-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYKKONEN",
"first_name": "SAMANTHA",
"middle_name": "GREENSKY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R144371-8",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "1011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.