Individual provider Active NPI

Lindsay Rae Erenberg, CRNA

  • Certified Registered Nurse Anesthetist
  • Fargo, ND
National Provider Identifier
1386917201
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R32423 Issued in ND
Practice address
1720 University Dr S Rt1707
Fargo, ND 58103-4940
Phone
(701) 234-1728
Fax
(701) 234-1681
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R32423 ND
Certified Registered Nurse Anesthetist 367500000X R32423 ND Primary

Addresses

Primary practice location

1720 University Dr S Rt1707
Fargo, ND 58103-4940

Mailing address

1720 University Dr S Rt1707
Fargo, ND 58103-4940
Phone (701) 234-1728

Other practice location 1

2301 25th St S Ste K
Fargo, ND 58103-6104
Phone (701) 234-1728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120620000823 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385808419 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R32423NDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2019 Accepting new patients
Peloton Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Oct 29, 2022 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Oct 29, 2022 Accepting new patients
Monument Health Rapid City Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 19, 2024 Accepting new patients
Black Hills Anesthesia, Prof. L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2024 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1720 University Dr S
#1707
Fargo, ND 58103
Phone (701) 234-1728

1720 University Dr S
Fargo, ND 58103
Phone (701) 280-4140

2301 25th St S
Ste K
Fargo, ND 58103
Phone (701) 234-1728

1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

240 Minnesota St
Rapid City, SD 57701
Phone (605) 718-5123

2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1386917201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 UNIVERSITY DR S RT1707",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940",
            "telephone_number": "701-234-1728",
            "fax_number": "701-234-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 UNIVERSITY DR S RT1707",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940",
            "telephone_number": "701-234-1728",
            "fax_number": "701-234-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 25th St S Ste K",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036104",
            "country_code": "US",
            "telephone_number": "701-234-1728",
            "fax_number": "701-234-1681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERENBERG",
        "first_name": "LINDSAY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R32423",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R32423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.