Individual provider Active NPI

Kathryn M Scott, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Paul, MN
National Provider Identifier
1336181817
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
046707 Issued in MN
Practice address
26 Griggs St N
Saint Paul, MN 55104-6914
Phone
(605) 639-0021
NPI assigned
Jun 11, 2006
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R 106747-9 MN
Certified Registered Nurse Anesthetist 367500000X CR00075R SD
Certified Registered Nurse Anesthetist 367500000X R024407 SD
Certified Registered Nurse Anesthetist 367500000X 046707 MN Primary

Addresses

Primary practice location

26 Griggs St N
Saint Paul, MN 55104-6914

Mailing address

26 Griggs St N
Saint Paul, MN 55104-6914
Phone (605) 639-0021

Other identifiers 1

IdentifierTypeStateIssuer
862525500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916000144 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133196397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Anesthesia Specialists PLLCGroup PAC ID 8426423039, 8 clinicians

Practice addresses (Care Compare)

1447 White Oak Dr
Chaska, MN 55318-2525
Phone (952) 368-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 106747-9MNMDRegistered Nurse
046707MNMDCertified Registered Nurse Anesthetist
CR00075RSDMDCertified Registered Nurse Anesthetist
R024407SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates, PLLC CurrentSince Sep 14, 2020 Accepting new patients
Minnesota Anesthesia Specialists PLLC CurrentSince Dec 27, 2024 Accepting new patients
Sibley Medical Center Past Accepting new patients
Mankato Anesthesia Associates LTD Nurse Anesthetist, Certified Registered PastSince Jan 1, 2000 Accepting new patients
Southdale Specialty Surgery Center, LLC PastSince Sep 5, 2023 Accepting new patients
Allina Health System Past Accepting new patients

Locations

1447 White Oak Dr
Chaska, MN 55318
Phone (952) 368-3800

3000 Hundertmark Rd
Ste 200
Chaska, MN 55318
Phone (952) 479-6304

9645 Grove Cir N
Ste 250
Maple Grove, MN 55369

6500 Barrie Rd
Ste 300
Minneapolis, MN 55435
Phone (952) 368-3800

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1336181817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GRIGGS ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046914",
            "telephone_number": "605-639-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GRIGGS ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046914",
            "telephone_number": "605-639-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 106747-9",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR00075R",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "R024407",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "046707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862525500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.