Individual provider Active NPI

Lori Ann Sutherland, CRNA

  • Certified Registered Nurse Anesthetist
  • Bemidji, MN
National Provider Identifier
1154378529
Registry record updated Jun 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
051013 Issued in MN
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 Jun 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R1281022 MN
Certified Registered Nurse Anesthetist 367500000X 051013 MN Primary

Addresses

Primary practice location

27040 County Road 9
Bemidji, MN 56601-5456

Mailing address

39076 Sissebakwet Shores Rd
Cohasset, MN 55721-8968
Phone (218) 326-6158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000923 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022047299 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

  • Riverwood Healthcare Center Hospital, Aitkin, MN, CCN 241305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R1281022MNMDRegistered Nurse
051013MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD Nurse Anesthetist, Certified Registered Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jul 10, 2010 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jul 10, 2010 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Dec 20, 2023 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jan 1, 2017 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Jan 1, 2010 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jan 1, 2017 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Jan 1, 2010 Accepting new patients
The Duluth Clinic LTD CurrentSince Dec 20, 2023 Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

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

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

1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650

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

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

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

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

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

1120 E 34th St
Hibbing, MN 55746
Phone (218) 362-7100

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1307750400000",
    "number": "1154378529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39076 SISSEBAKWET SHORES RD",
            "city": "COHASSET",
            "state": "MN",
            "postal_code": "557218968",
            "telephone_number": "218-326-6158"
        },
        {
            "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": "SUTHERLAND",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1281022",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "051013",
            "primary": true
        }
    ],
    "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 Jun 11, 2011; 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.