Active NPI
Mary E Krupich, CRNA
- Certified Registered Nurse Anesthetist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R25378
- Practice address
- 801 Broadway N
Fargo, ND 58102-3641 - Phone
- (701) 234-6259
- Fax
- (701) 234-7334
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- 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 | R25378 | ND | Primary |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
PO Box 2168
Fargo, ND 58107-2168
Phone (701) 234-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12826 | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkrupich819565@direct.centracare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, SD, MN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of North Dakota School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 234-2000
3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2253
Phone (320) 258-3090
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Centracare - St. Cloud Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2671 | MN | MD | Athletic Trainer |
| R25378 | ND | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Avera St Lukes | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Avera St. Lukes | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| St Alexius Medical Center | Current | Accepting new patients | |
| Avera St. Luke'S | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Valley Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Plains Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000
Interoperability endpoints
- mkrupich819565@direct.centracare.com
Organizations & group practices 16
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.
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
-
- Internal Medicine Physician
- Aberdeen, SD
- NPI 1215100813
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1457309270
-
- Nephrology Physician
- Aberdeen, SD
- NPI 1477594430
-
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1841502929
-
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1730106402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "FARGO",
"state": "ND",
"postal_code": "581072168",
"telephone_number": "701-234-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581023641",
"telephone_number": "701-234-6259",
"fax_number": "701-234-7334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPICH",
"first_name": "MARY",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R25378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12826",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkrupich819565@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mkrupich819565@direct.centracare.com",
"address_1": "3701 12th St N Ste 202",
"city": "Saint Cloud",
"state": "MN",
"country_code": "US",
"postal_code": "563032253",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.