Individual provider Active NPI

Danielle Marie Lee

  • Certified Registered Nurse Anesthetist
  • Minneapolis, MN
National Provider Identifier
1831448026
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1427 Issued in MN
Practice address
4612 15TH Ave S
Minneapolis, MN 55407-3653
Phone
(919) 995-6963
NPI assigned
Sep 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1427 MN Primary
Registered Nurse 163W00000X 2100335 MN

Addresses

Primary practice location

4612 15TH Ave S
Minneapolis, MN 55407-3653

Mailing address

4612 15TH Ave S
Minneapolis, MN 55407-3653
Phone (919) 995-6963

Other practice location 1

704 Simon Ave
Saint Paul, MN 55117-5623
Phone (919) 995-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130318000348 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668617804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Metropolitan Anesthesia PAGroup PAC ID 1153370911, 25 clinicians
Metropolitan Anesthesia Network LLPGroup PAC ID 5698689123, 516 clinicians

Practice addresses (Care Compare)

201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1427MNMDMarriage & Family Therapist
2100335MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Anesthesia Network, LLP Nurse Anesthetist, Certified Registered CurrentSince May 17, 2020 Accepting new patients

Locations

2020 E 28th St
Ste 100
Minneapolis, MN 55407
Phone (612) 455-0612

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

345 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

345 Sherman St
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5525

2945 Hazelwood St
Ste 300
Saint Paul, MN 55109
Phone (651) 471-9701

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

3580 Arcade St
Ste 20
Vadnais Heights, MN 55127

2080 Woodwinds Dr
Ste 200
Woodbury, MN 55125
Phone (651) 642-1106

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

2080 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 642-9199

7115 Tamarack Rd
Ste 200
Woodbury, MN 55125
Phone (651) 968-5468

Organizations & group practices 2

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831448026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 15TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073653",
            "telephone_number": "919-995-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 15TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073653",
            "telephone_number": "919-995-6963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Simon Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551175623",
            "country_code": "US",
            "telephone_number": "919-995-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "1427",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2100335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.