Active NPI
Steven D Klund, CRNA
- Nurse Practitioner
- Bloomer, WI
National Provider Identifier
1275701062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1051
- Practice address
- 1501 Thompson St
Bloomer, WI 54724-1257 - Phone
- (715) 568-2000
- NPI assigned
- Feb 14, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 74106 | WI | |
| Nurse Practitioner | 363L00000X | 1051 | WI | Primary |
Addresses
Primary practice location
1501 Thompson St
Bloomer, WI 54724-1257
Mailing address
1501 Thompson St
Bloomer, WI 54724-1257
Phone (715) 568-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036300 | Other | CRNA CERT | |
| 43280200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74106 | WI | MD | Registered Nurse |
| 1051 | WI | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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
- Barron, WI
- NPI 1740239557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1275701062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 THOMPSON ST",
"city": "BLOOMER",
"state": "WI",
"postal_code": "547241257",
"telephone_number": "715-568-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 THOMPSON ST",
"city": "BLOOMER",
"state": "WI",
"postal_code": "547241257",
"telephone_number": "715-568-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUND",
"first_name": "STEVEN",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-14",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "74106",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "1051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA CERT",
"identifier": "036300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43280200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.