Active NPI
Randy M Thilgen, CRNA
- Certified Registered Nurse Anesthetist
- Lakeville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1681334
- Practice address
- 20617 Hampshire Way
Lakeville, MN 55044-4670 - Phone
- (952) 836-5022
- NPI assigned
- Aug 10, 2009
- Last updated
- Aug 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1681334 | MN | Primary |
Addresses
Primary practice location
20617 Hampshire Way
Lakeville, MN 55044-4670
Mailing address
20617 Hampshire Way
Lakeville, MN 55044-4670
Phone (952) 836-5022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14101 Fairview Dr
Suite 400
Burnsville, MN 55337-2539
Phone (952) 658-8000
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Metropolitan Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
14101 Fairview Dr
Burnsville, MN 55337
Phone (612) 672-5346
14101 Fairview Dr
Ste 400
Burnsville, MN 55337
Phone (952) 658-8000
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
400 10th St E
Waconia, MN 55387
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Burnsville, MN
- NPI 1649265737
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
dba Fairview Ridges Hospital
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1467684449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20617 HAMPSHIRE WAY",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444670",
"telephone_number": "952-836-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20617 HAMPSHIRE WAY",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444670",
"telephone_number": "952-836-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THILGEN",
"first_name": "RANDY",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1681334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.