Active NPI
Robert Splichal, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Breckenridge, MN
National Provider Identifier
1689781171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R 104547 5
- Practice address
- 2400 St Francis Dr
Breckenridge, MN 56520-1025 - Phone
- (218) 643-3000
- NPI assigned
- Aug 23, 2006
- 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 | R 104547 5 | MN | Primary |
Addresses
Primary practice location
2400 St Francis Dr
Breckenridge, MN 56520-1025
Mailing address
PO Box 1296
Warsaw, IN 46581-1296
Phone (574) 268-9640
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39G36SP | Other | MN | BLUE CROSS BLUE SHIELD BLUE PLUS OF MINNESOTA |
| 12147 | Medicaid | ND | |
| SPL3937 | Other | ND | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA |
| 430051817 | Other | ND | PALMETTO GPA - MEDICARE RAIL ROAD |
| 430051817 | Other | MN | PALMETTO GPA - RAIL ROAD MEDICARE |
| 199842100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 104547 5 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Medical Center | Current | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients |
Locations
3293 Solutions Ctr
Chicago, IL 60677
2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1891954574
-
dba Chi St Francis Health
- Rural Health Clinic/Center
- Milnor, ND
- NPI 1235215252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1689781171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1296",
"city": "WARSAW",
"state": "IN",
"postal_code": "465811296",
"telephone_number": "574-268-9640",
"fax_number": "574-268-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 ST FRANCIS DR",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565201025",
"telephone_number": "218-643-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPLICHAL",
"first_name": "ROBERT",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 104547 5",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD BLUE PLUS OF MINNESOTA",
"identifier": "39G36SP",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12147",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF NORTH DAKOTA",
"identifier": "SPL3937",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GPA - MEDICARE RAIL ROAD",
"identifier": "430051817",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GPA - RAIL ROAD MEDICARE",
"identifier": "430051817",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199842100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, MN
- Jennifer L Schalekamp, PT
- Katie Skansgaard
- Brennen D Smith, DO
- Megan Ann Solem Ritter, RN
- Solutions Counseling Services, Inc. (Birchwood Therapeutic Services)
- St Francis Medical Center (St Francis Healthcare Campus)
- St Francis Medical Center (St Francis Healthcare Campus)
- St Francis Medical Center (Rivers Edge Hospice)
- St. Francis Health Care
- St. Francis Home (CHI St Francis Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.