Active NPI
Lily RKL Bastian, CNM
- Advanced Practice Midwife
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 488
- Practice address
- 201 E Nicollet Blvd
Burnsville, MN 55337-5714 - Phone
- (952) 892-2000
- NPI assigned
- Mar 22, 2010
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 1882 | CA | |
| Advanced Practice Midwife | 367A00000X | 488 | MN | Primary |
Addresses
Primary practice location
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Mailing address
277A Duncan St
San Francisco, CA 94131-2019
Phone (151) 071-7734
Other practice location 1
583 Summerfield Rd
Santa Rosa, CA 95405-5239
Phone (707) 539-1544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone (651) 232-6800
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 91.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1882 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Woodwinds Hospital | Past | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients |
Locations
303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Interoperability endpoints
- lbastian695851@fairview.direct-ci.com
Organizations & group practices 12
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.
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Obstetrics & Gynecology Physician
- Edina, MN
- NPI 1013383355
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Multi-Specialty Clinic/Center
- Andover, MN
- NPI 1477734705
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Multi-Specialty Clinic/Center
- Maplewood, MN
- NPI 1003577420
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Clinic/Center
- Oakdale, MN
- NPI 1073569935
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1104140029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277A DUNCAN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312019",
"telephone_number": "151-071-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E NICOLLET BLVD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553375714",
"telephone_number": "952-892-2000"
}
],
"practiceLocations": [
{
"address_1": "583 Summerfield Rd",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954055239",
"country_code": "US",
"telephone_number": "707-539-1544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASTIAN",
"first_name": "LILY",
"middle_name": "RKL",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "1882",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.