Active NPI
Crystal Lynn Farrow, RN, CRNA
- Certified Registered Nurse Anesthetist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1410385
- Practice address
- 400 E 3Rd St
Duluth Clinic
Duluth, MN 55805-1951 - Phone
- (218) 786-4150
- NPI assigned
- Aug 21, 2009
- Sex
- Female
- Sole proprietor
- No
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 | R1410385 | MN | Primary |
Addresses
Primary practice location
400 E 3Rd St
Duluth Clinic
Duluth, MN 55805-1951
Mailing address
400 E 3Rd St
Duluth Clinic
Duluth, MN 55805-1951
Phone (218) 786-4150
Other practice location 1
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295967412 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100111000268 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2163563354 | Reassigns benefits to 2 organizations |
| I20110401000811 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2163563354 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Metropolitan Anesthesia Network LLP
Practice addresses (Care Compare)
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000
Hospital & facility affiliations
- Allina United Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340 | MN | MD | Marriage & Family Therapist |
| R1410385 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| North Shore Anesthesia P.a | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
MN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Duluth, MN
- NPI 1922051291
MN, Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- Multi-Specialty Clinic/Center
- Ashland, WI
- NPI 1215974357
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1295967412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"address_2": "DULUTH CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"address_2": "DULUTH CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-4150"
}
],
"practiceLocations": [
{
"address_1": "640 Jackson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-254-3456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARROW",
"first_name": "CRYSTAL",
"middle_name": "LYNN",
"credential": "RN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-21",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1410385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295967412",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.