Active NPI
Michael D Vad, CRNA
- Certified Registered Nurse Anesthetist
- New Richmond, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 76740
- Practice address
- 130 S Knowles Ave
New Richmond, WI 54017-1727 - Phone
- (715) 246-3018
- Fax
- (715) 246-3019
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- 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 | R-158100-7 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 76740 | MN | Primary |
Addresses
Primary practice location
130 S Knowles Ave
New Richmond, WI 54017-1727
Mailing address
130 S Knowles Ave
PO Box 118
New Richmond, WI 54017-0118
Phone (715) 246-3018
Other practice location 1
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3152
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097N8VA | Other | MN | BLUE CROSS BLUE SHIELD |
| 929483000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
Enrollment records 2
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
Practice addresses (Care Compare)
11855 Ulysses St NE
Blaine, MN 55434-7345
Phone (763) 755-6540
235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221
2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76740 | MN | MD | Certified Registered Nurse Anesthetist |
| R-158100-7 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| North Metro Anesthesia Services P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baldwin Area Medical Center Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
9801 DuPont Ave S
Ste 100
Bloomington, MN 55431
13601 80th Cir N
Ste 100
Maple Grove, MN 55369
Phone (612) 219-5355
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
701 Park Ave
#P4
Minneapolis, MN 55415
Phone (612) 873-2718
400 10th St E
Waconia, MN 55387
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
Organizations & group practices 19
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.
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
- Critical Access Hospital
- Saint Croix Falls, WI
- NPI 1043240922
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
-
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
-
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
-
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Certified Registered Nurse Anesthetist
- Wyoming, MN
- NPI 1457339780
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
-
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
Hospital
-
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
Hospital
-
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
- Critical Access Hospital
- Saint Croix Falls, WI
- NPI 1043240922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1215028170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S KNOWLES AVE",
"address_2": "PO BOX 118",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540170118",
"telephone_number": "715-246-3018",
"fax_number": "715-246-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S KNOWLES AVE",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171727",
"telephone_number": "715-246-3018",
"fax_number": "715-246-3019"
}
],
"practiceLocations": [
{
"address_1": "701 Park Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-3152",
"fax_number": "612-904-4218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAD",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R-158100-7",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "76740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "097N8VA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "929483000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.