Active NPI
Justin Michael Bartos, CRNA
- Certified Registered Nurse Anesthetist
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2094
- Practice address
- 3701 12TH St N Ste 202
Saint Cloud, MN 56303-2253 - Phone
- (320) 258-3090
- Fax
- (320) 258-3095
- NPI assigned
- Jul 17, 2017
- 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 | 2094 | MN | Primary |
Addresses
Primary practice location
3701 12TH St N Ste 202
Saint Cloud, MN 56303-2253
Mailing address
18135 69TH PL N
Maple Grove, MN 55311-2973
Phone (763) 670-8135
Other practice location 1
800 E 28th St
Minneapolis, MN 55407-3723
Phone (612) 863-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170926001217 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6305110693 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mngi Digestive Health, P.a. | Current | Accepting new patients |
Locations
5705 W Old Shakopee Rd
Ste 150
Bloomington, MN 55437
Phone (612) 870-5530
9145 Springbrook Dr NW
Ste 200
Coon Rapids, MN 55433
Phone (612) 625-8999
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
3001 Broadway St NE
Ste 500
Minneapolis, MN 55413
Phone (612) 870-5557
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
15700 37th Ave N
Ste 300
Plymouth, MN 55446
Phone (612) 870-5555
Interoperability endpoints
- jbartos388716@direct.centracare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mngi Digestive Health PA
Practice addresses (Care Compare)
3001 Broadway St NE
Suite 500
Minneapolis, MN 55413-2197
Phone (612) 871-1145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669995148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18135 69TH PL N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553112973",
"telephone_number": "763-670-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 12TH ST N STE 202",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032253",
"telephone_number": "320-258-3090",
"fax_number": "320-258-3095"
}
],
"practiceLocations": [
{
"address_1": "800 E 28th St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554073723",
"country_code": "US",
"telephone_number": "612-863-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTOS",
"first_name": "JUSTIN",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.