Active NPI
Kirk Acero Butler, DNP, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Robbinsdale, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2420785
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422 - Phone
- (763) 520-5200
- NPI assigned
- Oct 26, 2020
- 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 | 2420785 | MN | Primary |
Addresses
Primary practice location
3300 Oakdale Ave N
Robbinsdale, MN 55422
Mailing address
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5200
Other practice location 1
700 Central Ave NE Apt 208
Minneapolis, MN 55414-3769
Phone (573) 380-0227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-5370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2539 | MN | MD | Marriage & Family Therapist |
| 2420785 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mngi Digestive Health, P.a. | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Anesthesiology, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
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
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Robbinsdale, MN
- NPI 1013960798
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1215755400
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Fridley, MN
- NPI 1285692145
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fridley, MN
- NPI 1598700528
Hospital
-
- Psychiatric Hospital Unit
- Fridley, MN
- NPI 1609056100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1760081293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-520-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-520-5200"
}
],
"practiceLocations": [
{
"address_1": "700 Central Ave NE Apt 208",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554143769",
"country_code": "US",
"telephone_number": "573-380-0227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "KIRK",
"middle_name": "ACERO",
"name_prefix": "Dr.",
"credential": "DNP, APRN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2420785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.