NPIMap

Individual provider Active NPI

Lindsey Jo Wachendorf, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Edina, MN
National Provider Identifier
1821565953
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2266 Issued in MN
Practice address
6401 France Ave S
Edina, MN 55435-2199
Phone
(952) 924-5000
NPI assigned
Oct 26, 2018
Last updated
Oct 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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 2266 MN Primary

Addresses

Primary practice location

6401 France Ave S
Edina, MN 55435-2199

Mailing address

121 Washington Ave S Apt 1902
Minneapolis, MN 55401-2134
Phone (612) 298-6140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190502001954 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769724251 Reassigns benefits to 1 organization
I20190715001046 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769724251 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Anesthesia Network LLPGroup PAC ID 5698689123, 516 clinicians

Practice addresses (Care Compare)

1175 Nininger Rd
Hastings, MN 55033-1056
Phone (651) 404-1244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2266MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Regional Medical Center CurrentSince Jan 1, 2021 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 19, 2020 Accepting new patients
Baldwin Area Medical Center Inc. CurrentSince Jul 1, 2019 Accepting new patients
Advanced Surgical and Restorative Care LLC CurrentSince Jun 26, 2023 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 19, 2020 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jan 19, 2020 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jan 19, 2020 Accepting new patients
Baldwin Area Medical Center, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Westfields Hospital, Inc CurrentSince Jan 19, 2020 Accepting new patients
Metropolitan Anesthesia Network, LLP Nurse Anesthetist, Certified Registered CurrentSince Oct 26, 2023 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 19, 2020 Accepting new patients
Westfields Hospital, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Advanced Surgical and Restorative Care LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 26, 2023 Accepting new patients

Locations

1175 Nininger Rd
Hastings, MN 55033
Phone (651) 404-1000

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

1470 Rivers Edge Trl
Ste B
Altoona, WI 54720
Phone (715) 379-8718

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1821565953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WASHINGTON AVE S APT 1902",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012134",
            "telephone_number": "612-298-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352199",
            "telephone_number": "952-924-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHENDORF",
        "first_name": "LINDSEY",
        "middle_name": "JO",
        "credential": "APRN, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.