Active NPI
Scott A Fontaine, CRNA
- Certified Registered Nurse Anesthetist
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R26525
- Practice address
- 1200 S Columbia Rd
Grand Forks, ND 58201-4036 - Phone
- (701) 780-5000
- NPI assigned
- Dec 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1222 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | R26525 | ND | Primary |
Addresses
Primary practice location
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Altru Health System
Practice addresses (Care Compare)
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000
1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100
4500 S Washington St
Suite B
Grand Forks, ND 58201-7217
Phone (701) 732-7400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1222 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Riverview Healthcare Association | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| North Dakota Anesthesia Services PLLC | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200
400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100
607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357
19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365
412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020
122 Broadway N
Fargo, ND 58102
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
1000 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5089
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
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.
-
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
-
- Anesthesiology Physician
- Fargo, ND
- NPI 1710533989
-
- Clinic/Center
- Crookston, MN
- NPI 1760494330
-
- Ambulance
- Grand Forks, ND
- NPI 1114485315
-
- Rural Health Clinic/Center
- Warroad, MN
- NPI 1689763195
-
- Multi-Specialty Clinic/Center
- East Grand Forks, MN
- NPI 1811918436
-
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
-
- Physical Therapy Clinic/Center
- Walker, MN
- NPI 1902261456
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1801956792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014036",
"telephone_number": "701-780-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "1222",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R26525",
"primary": true
}
],
"identifiers": [],
"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 Dec 10, 2024; 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.