Individual provider Active NPI

Kasey Ann Theisen Sturm, M.D.

  • Emergency Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1467803288
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
65668 Issued in MN
Practice address
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone
(651) 241-8755
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 71874-20 WI
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 65668 MN Primary

Addresses

Primary practice location

333 Smith Ave N
Saint Paul, MN 55102-2344

Mailing address

2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279
Phone (612) 439-1868

Other names 1

  • Dr. Kasey Ann Theisen Sturm Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190702000944 MN Practitioner - Emergency Medicine 8426345448 Reassigns benefits to 3 organizations
I20191025001198 WI Practitioner - Emergency Medicine 8426345448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.56
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65668MNMDEmergency Medicine Physician
71874-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Area Medical Center, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Astera Health Current Accepting new patients
Baldwin Area Medical Center Inc. CurrentSince Nov 1, 2019 Accepting new patients
Ecc Addiction & Toxicology Services LLC CurrentSince Jun 21, 2022 Accepting new patients
Astera Health CurrentSince Jun 1, 2021 Accepting new patients
Emergency Care Consultants, PA Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

1175 Nininger Rd
Hastings, MN 55033
Phone (651) 404-1000

800 E 28th St
#11112
Minneapolis, MN 55407
Phone (612) 863-4233

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2829 University Ave SE
Ste 730
Minneapolis, MN 55414
Phone (612) 439-1868

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1467803288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY AVE SE STE 730",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143279",
            "telephone_number": "612-439-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SMITH AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022344",
            "telephone_number": "651-241-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISEN STURM",
        "first_name": "KASEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "71874-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "65668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "STURM",
            "middle_name": "ANN THEISEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.