Individual provider Active NPI

Kristi Lea Widseth, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Fosston, MN
National Provider Identifier
1427122811
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
223 Issued in MN
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20110519000402 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810173291 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46041MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Health CurrentSince Apr 1, 2011 Accepting new patients
First Care Medical Services CurrentSince Sep 25, 2017 Accepting new patients
Bridges Medical Center Current Accepting new patients
Bridges Medical Center CurrentSince Sep 25, 2017 Accepting new patients
St. Marys Regional Health Center CurrentSince Jan 21, 2026 Accepting new patients
First Care Medical Services CurrentSince Sep 25, 2017 Accepting new patients
St Mary's Regional Health Center CurrentSince Jan 21, 2026 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.

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.

Verify at the official NPI Registry.