Active NPI
Ronald W. Bardwell, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R134474-9
- Practice address
- 1300 Anne St NW
Bemidji, MN 56601-5103 - Phone
- (218) 333-5000
- Fax
- (218) 333-5566
- NPI assigned
- Sep 13, 2006
- Last updated
- Aug 22, 2022
- 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 | R134474-9 | MN | Primary |
Addresses
Primary practice location
1300 Anne St NW
Bemidji, MN 56601-5103
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
9645 Grove Cir N Ste 250
Maple Grove, MN 55369-4466
Phone (763) 201-8191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R134474-9 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Center for Pain Management, P.a. | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients |
Locations
519 22nd Ave E
Alexandria, MN 56308
Phone (320) 219-7611
203 4th St NW
Bagley, MN 56621
Phone (218) 694-3939
1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
15620 Edgewood Dr
Ste 200
Brainerd, MN 56401
Phone (218) 270-3111
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
804 23rd St S
Sartell, MN 56377
Phone (320) 230-7788
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240
Organizations & group practices 8
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.
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Specialist
- Sartell, MN
- NPI 1215977079
-
dba Sanford Thief River Falls Medical Center
- Critical Access Hospital
- Thief River Falls, MN
- NPI 1043218753
-
dba Sanford Health Southeast Campus
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1386047355
-
- Specialist
- Maple Grove, MN
- NPI 1104176205
-
- Anesthesiology Physician
- Minnetonka, MN
- NPI 1073621850
-
dba Sanford Health Southeast Campus
- Family Medicine Physician
- Thief River Falls, MN
- NPI 1144401514
-
dba Sanford Pharmacy Thief River Falls
- Community/Retail Pharmacy
- Thief River Falls, MN
- NPI 1346423373
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1356446694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015103",
"telephone_number": "218-333-5000",
"fax_number": "218-333-5566"
}
],
"practiceLocations": [
{
"address_1": "9645 Grove Cir N Ste 250",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553694466",
"country_code": "US",
"telephone_number": "763-201-8191",
"fax_number": "763-201-8192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARDWELL",
"first_name": "RONALD",
"middle_name": "W.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R134474-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.