Active NPI
Kristi Lea Widseth, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Fosston, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 223
- Practice address
- 900 Hilligoss Boulevard SE
Essentia Health Fosston
Fosston, MN 56542 - Phone
- (218) 435-1133
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 46041 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 223 | MN | Primary |
Addresses
Primary practice location
900 Hilligoss Boulevard SE
Essentia Health Fosston
Fosston, MN 56542
Mailing address
400 East Third Street
Essentia Health Duluth Clinic McL2Cred
Duluth, MN 55805-1951
Phone (218) 786-8364
Other practice location 1
201 Ninth Street West
Essentia Health Ada
Ada, MN 56510
Phone (218) 784-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46041 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Health | Current | Accepting new patients | |
| First Care Medical Services | Current | Accepting new patients | |
| Bridges Medical Center | Current | Accepting new patients | |
| Bridges Medical Center | Current | Accepting new patients | |
| St. Marys Regional Health Center | Current | Accepting new patients | |
| First Care Medical Services | Current | Accepting new patients | |
| St Mary's Regional Health Center | Current | Accepting new patients |
Locations
201 9th St W
Ada, MN 56510
Phone (218) 784-2727
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
400 E 3rd St
#2
Duluth, MN 55805
Phone (218) 786-8319
900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133
1095 Highway 15 S
Hutchinson, MN 55350
Phone (320) 234-5000
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 Essentia Health Ada Clinic
- Rural Health Clinic/Center
- Ada, MN
- NPI 1366886186
-
dba Essentia Health Fosston Clinic
- Critical Access Hospital Clinic/Center
- Fosston, MN
- NPI 1073638565
-
dba Hutchinson Health Hospital
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
-
dba Essentia Health St. Mary's- Detroit Lakes
- Rural Acute Care Hospital
- Detroit Lakes, MN
- NPI 1679561088
-
dba Essentia Health Fosston
- Critical Access Hospital
- Fosston, MN
- NPI 1497850119
-
dba Essentia Health Bagley Clinic
- Rural Health Clinic/Center
- Bagley, MN
- NPI 1790861649
-
dba Essentia Health St. Mary's-Frazee Clinic
- Rural Health Clinic/Center
- Frazee, MN
- NPI 1902364482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1427122811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EAST THIRD STREET",
"address_2": "ESSENTIA HEALTH DULUTH CLINIC MCL2CRED",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HILLIGOSS BOULEVARD SE",
"address_2": "ESSENTIA HEALTH FOSSTON",
"city": "FOSSTON",
"state": "MN",
"postal_code": "56542",
"telephone_number": "218-435-1133"
}
],
"practiceLocations": [
{
"address_1": "201 Ninth Street West",
"address_2": "Essentia Health Ada",
"address_purpose": "LOCATION",
"city": "Ada",
"state": "MN",
"postal_code": "56510",
"country_code": "US",
"telephone_number": "218-784-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIDSETH",
"first_name": "KRISTI",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "46041",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fosston, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.