Individual provider Active NPI

Timothy Patrick Overend, CRNA

  • Certified Registered Nurse Anesthetist
  • Grand Forks, ND
National Provider Identifier
1427345586
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R27952 Issued in ND
Practice address
1300 S Columbia Rd
Grand Forks, ND 58206-6002
Phone
(701) 780-5000
Fax
(701) 662-9651
NPI assigned
Jul 8, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R27952 ND Primary

Addresses

Primary practice location

1300 S Columbia Rd
Grand Forks, ND 58206-6002

Mailing address

PO Box 6002
Grand Forks, ND 58206-6002
Phone (701) 780-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817002016 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385959535 Reassigns benefits to 11 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Deaconess Health Center CurrentSince Sep 1, 2018 Accepting new patients
Towner County Medical Center Inc CurrentSince May 4, 2017 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Jun 8, 2015 Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Aug 1, 2020 Accepting new patients
Northwood Deaconess Health Center Current Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jun 14, 2025 Accepting new patients
St Aloisius Hospital Inc CurrentSince Dec 13, 2024 Accepting new patients
Northwood Deaconess Health Center CurrentSince Sep 1, 2018 Accepting new patients
Carrington Health Center Current Accepting new patients
Carrington Health Center CurrentSince Apr 1, 2017 Accepting new patients
St Aloisius Hospital Inc CurrentSince Dec 13, 2024 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Jan 1, 2025 Accepting new patients
P R Health Corporation Current Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Aug 1, 2020 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jun 14, 2025 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Jun 8, 2015 Accepting new patients
Carrington Health Center CurrentSince Apr 1, 2017 Accepting new patients
Grand Forks Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3290 Solutions Ctr
Chicago, IL 60677

7776 Solutions Ctr
Chicago, IL 60677

820 5th St N
Carrington, ND 58421
Phone (701) 399-0123

301 Mountain St E
Cavalier, ND 58220
Phone (701) 265-6307

301 Mountain St E
Ste 2
Cavalier, ND 58220
Phone (701) 265-6307

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

325 Brewster St E
Harvey, ND 58341
Phone (701) 324-4651

901 2nd St
Langdon, ND 58249
Phone (701) 256-6100

909 2nd St
Langdon, ND 58249
Phone (701) 256-6100

Organizations & group practices 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427345586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6002",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582066002",
            "telephone_number": "701-780-5000",
            "fax_number": "701-662-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582066002",
            "telephone_number": "701-780-5000",
            "fax_number": "701-662-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVEREND",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R27952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

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.