Individual provider Active NPI

Laura Prouty

  • Certified Registered Nurse Anesthetist
  • Duluth, MN
National Provider Identifier
1356521165
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R121258-3 Issued in MN
Practice address
400 E 3Rd St
Duluth, MN 55805-1951
Phone
(218) 786-4150
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R121258-3 MN Primary

Addresses

Primary practice location

400 E 3Rd St
Duluth, MN 55805-1951

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-4150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080111000431 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961583331 Reassigns benefits to 7 organizations
I20080805000881 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961583331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
North Shore Anesthesia PAGroup PAC ID 9032016936, 14 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians

Practice addresses (Care Compare)

1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150

1420 London Rd
Suite 100
Duluth, MN 55805-2437
Phone (218) 728-0650

402 E 2ND St
Duluth, MN 55805-1906
Phone (218) 786-4000

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

901 9TH St N
Virginia, MN 55792-2398
Phone (218) 748-7750

Hospital & facility affiliations

  • Range Regional Health Services Hospital, Hibbing, MN, CCN 240040
  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1550MNMDNurse Practitioner
R121258-3MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD Current Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
Essentia Health Moose Lake CurrentSince Oct 7, 2021 Accepting new patients
Range Regional Health Services Current Accepting new patients
Northern Pines Medical Center Current Accepting new patients
Sundell Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Range Regional Health Services CurrentSince Sep 11, 2023 Accepting new patients
Essentia Health Moose Lake Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Nov 12, 2007 Accepting new patients
The Duluth Clinic, LTD Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2012 Accepting new patients
Range Regional Health Services CurrentSince Sep 11, 2023 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
North Shore Anesthesia P.a Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2023 Accepting new patients
Northern Pines Medical Center CurrentSince Sep 7, 2010 Accepting new patients
Northern Pines Medical Center CurrentSince Sep 7, 2010 Accepting new patients
The Duluth Clinic, LTD Nurse Anesthetist, Certified Registered CurrentSince Nov 12, 2007 Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

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

502 N 6th Ave
Virginia, MN 55792
Phone (218) 471-1220

1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000

400 10th St E
Waconia, MN 55387

3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1356521165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "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",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUTY",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R121258-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 8, 2007; 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.