Active NPI
Lori A Bazey, CRNA
- Certified Registered Nurse Anesthetist
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R22456
- Practice address
- 3035 Demers Ave
Grand Forks, ND 58201-4040 - Phone
- (701) 775-3151
- NPI assigned
- Aug 23, 2006
- Last updated
- Apr 23, 2008
- 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 | R22456 | ND | Primary |
Addresses
Primary practice location
3035 Demers Ave
Grand Forks, ND 58201-4040
Mailing address
3366 Desert Star LN
Grand Forks, ND 58201-5823
Phone (701) 746-7441
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430010862 | Other | RR MEDICARE | |
| 010M8BA | Other | MN | BCBS |
| 11931 | Medicaid | ND | |
| 021269 | Other | ND | BCBS |
| 661345400 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 47TH Ave S
Grand Forks, ND 58201-3642
Phone (701) 738-4248
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R22456 | ND | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Forks Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Aurora Surgery Center, LLC | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
2600 47th Ave S
Grand Forks, ND 58201
Phone (701) 738-4240
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Grand Forks, ND
- NPI 1447727946
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Grand Forks, ND
- NPI 1124135546
-
- Ambulatory Surgical Clinic/Center
- Grand Forks, ND
- NPI 1689842395
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": "1208908800000",
"number": "1780790394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3366 DESERT STAR LN",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015823",
"telephone_number": "701-746-7441",
"fax_number": "701-746-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014040",
"telephone_number": "701-775-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZEY",
"first_name": "LORI",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R22456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "430010862",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010M8BA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11931",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "021269",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "661345400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.