Individual provider Active NPI

Laurie Kersten-Ulmen, CRNA

  • Certified Registered Nurse Anesthetist
  • North Mankato, MN
National Provider Identifier
1174584395
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
40997 Issued in MN
Practice address
117 Marquette Ave
North Mankato, MN 56003-2420
Phone
(507) 381-5333
NPI assigned
Mar 29, 2006
Last updated
Sep 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 40997 MN Primary

Addresses

Primary practice location

117 Marquette Ave
North Mankato, MN 56003-2420

Mailing address

117 Marquette Ave
North Mankato, MN 56003-2420
Phone (507) 381-5333

Other names 1

  • Laurie Ulmen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040220000840 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274428800 Reassigns benefits to 1 organization
I20081107000681 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274428800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

Practice addresses (Care Compare)

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40997MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince Jun 6, 2016 Accepting new patients
Winona Health Services CurrentSince May 15, 2017 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jun 6, 2016 Accepting new patients
Sibley Medical Center Past Accepting new patients
Bridgeport Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Integrated Gastroenterology Consultants, PC Past Accepting new patients
Integrated Gastroenterology Consultants, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Portland Anesthesia Specialists LLC Past Accepting new patients
American Anesthesiology of Minnesota, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Certified Anesthesia Care, Co. Nurse Anesthetist, Certified Registered Past Accepting new patients
Hennepin County Past Accepting new patients
Mason City Ambulatory Surgery Center, LLC Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

606 24th Ave S
Ste 801
Minneapolis, MN 55454
Phone (612) 338-3638

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

Organizations & group practices 13

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.

View all 13

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1174584395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MARQUETTE AVE",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032420",
            "telephone_number": "507-381-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MARQUETTE AVE",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032420",
            "telephone_number": "507-381-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSTEN-ULMEN",
        "first_name": "LAURIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "40997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "ULMEN",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.