NPIMap

Individual provider Active NPI

Jesse Alan Lind

  • Certified Registered Nurse Anesthetist
  • Brainerd, MN
National Provider Identifier
1427257393
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R166910-7 Issued in MN
Practice address
523 N 3Rd St
Brainerd, MN 56401-3054
Phone
(218) 829-2861
NPI assigned
Jul 12, 2007
Last updated
Jan 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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 R166910-7 MN Primary

Addresses

Primary practice location

523 N 3Rd St
Brainerd, MN 56401-3054

Mailing address

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 829-2861

Other identifiers 1

IdentifierTypeStateIssuer
R166910-7OtherMNMN RN LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071221000022 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719077221 Reassigns benefits to 9 organizations

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
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians
Center for Pain Management, P.a.Group PAC ID 8820008832, 15 clinicians

Practice addresses (Care Compare)

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 829-2861

804 23Rd St S
Sartell, MN 56377-4705
Phone (320) 230-7788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R166910-7MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Anesthesia Services PA CurrentSince Sep 1, 2013 Accepting new patients
Center for Pain Management, P.a. CurrentSince May 1, 2022 Accepting new patients
Brainerd Medical Center Inc CurrentSince Jan 1, 2014 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Nov 30, 2022 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Aug 1, 2022 Accepting new patients
St Joseph's Medical Center CurrentSince Jan 1, 2014 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
St. Joseph's Medical Center CurrentSince Jan 1, 2014 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Brainerd Lakes Surgery Center L L C CurrentSince Aug 1, 2010 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Nov 30, 2022 Accepting new patients
Brainerd Medical Center Inc. CurrentSince Jan 1, 2014 Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

519 22nd Ave E
Alexandria, MN 56308
Phone (320) 219-7611

13114 Isle Dr
Baxter, MN 56425
Phone (218) 822-2400

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

15620 Edgewood Dr
Ste 200
Brainerd, MN 56401
Phone (218) 270-3111

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

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

13911 Ridgedale Dr
Ste 404B
Minnetonka, MN 55305
Phone (612) 636-0061

804 23rd St S
Sartell, MN 56377
Phone (320) 230-7788

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 11

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1427257393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-829-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-829-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "JESSE",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R166910-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN RN LICENSE",
            "identifier": "R166910-7",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.