Inspired Spine Surgcenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INSPIRED SPINE SURGCENTER LLC

Practice address

1601 Highway 13 E Ste 110
Burnsville, MN 55337-6877

Phone

(952) 405-9760

Fax

(855) 430-6952

NPI assigned

Jun 18, 2020

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Navarrete

Title

Business Manager

Phone

(651) 456-8795

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336765098. Details of each certification follow.

• CCN 24C0001110 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 24C0001110

Legal name

Inspired Spine SurgCenter

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 11, 2021

Last certification

Jun 11, 2021

Ownership / control type

Proprietary

Facility address

1601 Highway 13 East Suite 110
Burnsville, MN 55337

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22487/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hamid Reza Abbasi, MD

  • Neurological Surgery Physician
  • Burnsville, MN
  • NPI 1932303526
  Medicare reassignment NPD
• Sunny S Kim, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Burnsville, MN
  • NPI 1114989555
  Medicare reassignment NPD
• John Hong Zweber, CRNA

  • Certified Registered Nurse Anesthetist
  • Shakopee, MN
  • NPI 1013979996
  Medicare reassignment NPD
• Alyssa Jordan Haberer, PA-C

  • Physician Assistant
  • Burnsville, MN
  • NPI 1649912908
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1336765098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376877",
            "telephone_number": "952-405-9760",
            "fax_number": "855-430-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376877",
            "telephone_number": "952-405-9760",
            "fax_number": "855-430-6952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 France Ave S",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354738",
            "country_code": "US",
            "telephone_number": "952-405-9760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRED SPINE SURGCENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-456-8795"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.