NPIMap

Individual provider Active NPI

Paul D Schwichtenberg, CRNA

  • Certified Registered Nurse Anesthetist
  • Burnsville, MN
National Provider Identifier
1730492604
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R1607732 Issued in MN
Practice address
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone
(763) 398-0099
Fax
(763) 398-0124
NPI assigned
Jul 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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 R1607732 MN Primary

Addresses

Primary practice location

201 E Nicollet Blvd
Burnsville, MN 55337-5714

Mailing address

8990 Springbrook Dr NW Ste 250
Coon Rapids, MN 55433-5884
Phone (763) 398-1162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110121000811 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587843644 Reassigns benefits to 1 organization
I20200409003421 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587843644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-7000

910 E 20TH St
Sioux Falls, SD 57105-1012
Phone (605) 334-6730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
325MNMDPediatric Clinical Nurse Specialist
R1607732MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Metropolitan Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 29, 2010 Accepting new patients
Avera McKennan CurrentSince Mar 30, 2020 Accepting new patients
Avera McKennan Current Accepting new patients
Heart Hospital of South Dakota LLC CurrentSince Jun 26, 2023 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Jan 15, 2023 Accepting new patients
Heart Hospital of South Dakota LLC CurrentSince Jun 26, 2023 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Jan 15, 2023 Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2020 Accepting new patients
Pax PLLC PastSince Mar 1, 2022 Accepting new patients

Locations

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

400 10th St E
Waconia, MN 55387

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

4928 N Cliff Ave
Sioux Falls, SD 57104
Phone (605) 444-8820

4500 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-7000

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

Organizations & group practices 9

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1730492604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 SPRINGBROOK DR NW STE 250",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335884",
            "telephone_number": "763-398-1162",
            "fax_number": "763-398-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E NICOLLET BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375714",
            "telephone_number": "763-398-0099",
            "fax_number": "763-398-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWICHTENBERG",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1607732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.

Verify at the official NPI Registry.