Active NPI
Gina Marie Pettinari, CRNA
- Certified Registered Nurse Anesthetist
- Hibbing, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 082642
- Practice address
- 750 E 34TH St
Hibbing, MN 55746-2341 - Phone
- (612) 386-3351
- NPI assigned
- Jul 16, 2009
- 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 | 082642 | MN | Primary |
Addresses
Primary practice location
750 E 34TH St
Hibbing, MN 55746-2341
Mailing address
1924 11TH Ave E
Hibbing, MN 55746-1618
Phone (612) 386-3351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3605 Mayfair Ave
Hibbing, MN 55746-2935
Phone (218) 262-3441
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.93 of 100
- Quality
- 94.88
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082642 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Range Regional Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Northland Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Range Regional Health Services | Current | Accepting new patients |
Locations
10 5th St SE
Cook, MN 55723
Phone (218) 626-3441
1542 Golf Course Rd
Ste 105
Grand Rapids, MN 55744
Phone (218) 326-0667
1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
400 10th St E
Waconia, MN 55387
Organizations & group practices 4
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.
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
- Certified Registered Nurse Anesthetist
- Cook, MN
- NPI 1275073892
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Hibbing, MN
- NPI 1356321699
-
dba HealthLine Medical Supply
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hibbing, MN
- NPI 1356321699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1770713323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 11TH AVE E",
"city": "HIBBING",
"state": "MN",
"postal_code": "557461618",
"telephone_number": "612-386-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E 34TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462341",
"telephone_number": "612-386-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTINARI",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "082642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.