Active NPI
Patrick A Bailey, CRNA
- Certified Registered Nurse Anesthetist
- Cloquet, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R123023-5
- Practice address
- 512 Skyline Blvd
Cloquet, MN 55720-3787 - Phone
- (218) 878-7699
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R123023-5 | MN | Primary |
Addresses
Primary practice location
512 Skyline Blvd
Cloquet, MN 55720-3787
Mailing address
512 Skyline Blvd
Cloquet, MN 55720-3787
Phone (218) 878-7699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R123023-5 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych North PLLC | Current | Accepting new patients | |
| Northland Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Eir Med LLC | Past | Accepting new patients |
Locations
10 5th St SE
Cook, MN 55723
Phone (218) 626-3441
1003 E Central Entrance
Duluth, MN 55811
Phone (218) 208-0019
1542 Golf Course Rd
Ste 105
Grand Rapids, MN 55744
Phone (218) 326-0667
1101 E 37th St
Ste 5
Hibbing, MN 55746
Phone (218) 208-0019
400 10th St E
Waconia, MN 55387
Organizations & group practices 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Duluth, MN
- NPI 1760136964
-
- Certified Registered Nurse Anesthetist
- Cook, MN
- NPI 1275073892
Nurse Anesthetist, Certified Registered
-
- Psychiatric/Mental Health Nurse Practitioner
- Hibbing, MN
- NPI 1912579244
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
-
- Ambulatory Surgical Clinic/Center
- Duluth, MN
- NPI 1649223629
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194749267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557203787",
"telephone_number": "218-878-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557203787",
"telephone_number": "218-878-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "PATRICK",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R123023-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.