Individual provider Active NPI

Danielle Lee Ferkingstad, CRNA

  • Certified Registered Nurse Anesthetist
  • Vadnais Heights, MN
National Provider Identifier
1477806800
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
89233 Issued in MN
Practice address
3640 Talmage Cir Ste 216
Vadnais Heights, MN 55110-7100
Phone
(952) 431-5330
Fax
(952) 431-5334
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 89233 MN Primary

Addresses

Primary practice location

3640 Talmage Cir Ste 216
Vadnais Heights, MN 55110-7100

Mailing address

3640 Talmage Cir Ste 216
Vadnais Heights, MN 55110-7100
Phone (952) 431-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171018000050 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395980536 Reassigns benefits to 4 organizations
I20231212002027 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395980536 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1747MNMDAcupuncturist
89233MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Golden, Crna, PA CurrentSince Jan 18, 2020 Accepting new patients
North Shore Anesthesia P.a Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Metropolitan Anesthesia Network, LLP Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Allina Health System CurrentSince Aug 19, 2019 Accepting new patients
Allina Health System Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2019 Accepting new patients

Locations

14551 Judicial Rd
Burnsville, MN 55306
Phone 9528985020 ext. 129

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650

200 State Ave
Faribault, MN 55021
Phone (507) 334-6451

8650 Hudson Blvd N
Ste 235
Lake Elmo, MN 55042
Phone (651) 203-4673

12000 Elm Creek Blvd N
Ste L70
Maple Grove, MN 55369
Phone (763) 420-4111

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

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

3555 Willow Lake Blvd
Ste 290
Vadnais Heights, MN 55110

3640 Talmage Cir
Ste 216
Vadnais Hts, MN 55110
Phone (651) 379-4006

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

707 Rodeo Cir
Ste 114
Hudson, WI 54016

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1477806800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 TALMAGE CIR STE 216",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551107100",
            "telephone_number": "952-431-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 TALMAGE CIR STE 216",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551107100",
            "telephone_number": "952-431-5330",
            "fax_number": "952-431-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERKINGSTAD",
        "first_name": "DANIELLE",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "89233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.