Active NPI
David A Desautel, CRNA
- Certified Registered Nurse Anesthetist
- Minot, ND
National Provider Identifier
1841389160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R19708
- Practice address
- #1 Burdick Expy W
Minot, ND 58701-4406 - Phone
- (701) 857-5124
- Fax
- (701) 857-3264
- NPI assigned
- Oct 12, 2006
- Last updated
- Feb 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R19708 | ND | Primary |
Addresses
Primary practice location
#1 Burdick Expy W
Minot, ND 58701-4406
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12600 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031212000658 | ND | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7911804539 |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 5010
Minot, ND 58702-5010
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.05 of 100
- Quality
- 60.57
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Health First Response Air Ambulance
- Air Ambulance
- Minot, ND
- NPI 1053502773
Hospital
-
dba Community Ambulance Service, Inc.
- Land Ambulance
- Minot, ND
- NPI 1134310857
Hospital
-
- General Acute Care Hospital
- Minot, ND
- NPI 1427103910
-
dba Trinity Hospitals Residential Treatment Center
- Substance Abuse Rehabilitation Facility
- Minot, ND
- NPI 1457539660
Hospital
-
dba Trinity St Joseph's CDU
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
-
- General Acute Care Hospital
- Minot, ND
- NPI 1932359544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1841389160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-857-5650",
"fax_number": "701-857-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1 BURDICK EXPY W",
"city": "MINOT",
"state": "ND",
"postal_code": "587014406",
"telephone_number": "701-857-5124",
"fax_number": "701-857-3264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAUTEL",
"first_name": "DAVID",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R19708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12600",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.