Active NPI
Christian T Cavalier, CRNA
- Certified Registered Nurse Anesthetist
- Ely, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1464315
- Practice address
- 2760 Bear Island River Rd
Ely, MN 55731-8310 - Phone
- (218) 820-7119
- NPI assigned
- Aug 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1464315 | MN | Primary |
Addresses
Primary practice location
2760 Bear Island River Rd
Ely, MN 55731-8310
Mailing address
2760 Bear Island River Rd
Ely, MN 55731-8310
Phone (218) 820-7119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372163900 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050112000416 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8325096787 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ely-Bloomenson Community Hospital
Practice addresses (Care Compare)
328 W Conan St
Ely, MN 55731-1145
Phone (218) 365-3271
Hospital & facility affiliations
- Ely - Bloomenson Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Range Regional Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Northern Itasca Hospital District | Past | Accepting new patients | |
| Range Regional Health Services | Past | Accepting new patients |
Locations
3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
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.
-
- Community/Retail Pharmacy
- Ely, MN
- NPI 1972539658
-
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
-
- Critical Access Hospital
- Bigfork, MN
- NPI 1851335525
-
- General Acute Care Hospital
- Hibbing, MN
- NPI 1356321699
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": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1316948813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 BEAR ISLAND RIVER RD",
"city": "ELY",
"state": "MN",
"postal_code": "557318310",
"telephone_number": "218-820-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 BEAR ISLAND RIVER RD",
"city": "ELY",
"state": "MN",
"postal_code": "557318310",
"telephone_number": "218-820-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALIER",
"first_name": "CHRISTIAN",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1464315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372163900",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "2760 Bear Island River Rd",
"city": "Ely",
"state": "MN",
"country_code": "US",
"postal_code": "557318310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ely, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.