Michael Indergaard
Individual provider Active NPI Certified Registered Nurse Anesthetist · Edina, MN
NPI 1487138293 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1487138293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2294830 (MN)
- Practice address
- 6401 France Ave S
Edina, MN 55435-2199 - Phone
- (952) 924-5000
- NPI assigned
- Sep 18, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southdale Anesthesiologists LLC
University Anesthesia Providers LLC
Practice addresses (Care Compare)
4010 W 65TH St
Edina, MN 55435-1706
Phone (952) 924-5187
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
Hospital & facility affiliations
- M Health Fairview Southdale Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181221000105 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5193060093 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Fairview Health Services | Current |
Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Southdale Anesthesiologists, LLC | Current |
Accepting new patients | |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
4010 W 65th St
Minneapolis, MN 55435
Phone (952) 456-7000
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2294830 | MN | Yes |
Addresses
Primary practice location
6401 France Ave S
Edina, MN 55435-2199
Mailing address
6401 France Ave S
Edina, MN 55435-2199
Other providers in Edina, MN
- Martin Lee Immerman
- Imr of MN., LLC
- Imr of MN., LLC
- In-Home Clinic Connection PC
- Independent School District No. 273
- Infinite Health Collaborative, PA
- Infinite Health Collaborative, PA
- Infinite Health Collaborative, PA
- Infinite Health Collaborative, PA
- Infinite Health Collaborative, PA
All providers in Edina, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.