Individual provider Active NPI

Colin Patrick Ryan, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Crosby, MN
National Provider Identifier
1851660948
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1394 Issued in MN
Practice address
320 East Main Street
Crosby, MN 56441
Phone
(218) 546-7000
Fax
(218) 546-4400
NPI assigned
Dec 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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 R1652871 MN
Certified Registered Nurse Anesthetist 367500000X 1394 MN Primary

Addresses

Primary practice location

320 East Main Street
Crosby, MN 56441

Mailing address

320 East Main Street
Crosby, MN 56441
Phone (218) 546-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000721 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294901765 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Health SystemGroup PAC ID 1052229671, shared by 15 NPIs, 107 clinicians

Practice addresses (Care Compare)

49725 County
Suite 83
Staples, MN 56479-5280
Phone (218) 894-1515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1394MNMDMarriage & Family Therapist
R1652871MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Health System CurrentSince Dec 1, 2019 Accepting new patients
Regional Anesthesia Services PA CurrentSince Jan 15, 2020 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
Lakewood Health System CurrentSince Jan 6, 2026 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Mille Lacs Health System CurrentSince Sep 14, 2018 Accepting new patients
Brainerd Lakes Surgery Center L L C CurrentSince Aug 10, 2015 Accepting new patients
Mille Lacs Health System CurrentSince Sep 14, 2018 Accepting new patients
Lakewood Health System CurrentSince Dec 1, 2019 Accepting new patients
Allina Health System Past Accepting new patients

Locations

13114 Isle Dr
Baxter, MN 56425
Phone (218) 822-2400

15620 Edgewood Dr
Ste 200
Brainerd, MN 56401
Phone (218) 270-3111

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

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

13911 Ridgedale Dr
Ste 404B
Minnetonka, MN 55305
Phone (612) 636-0061

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

Organizations & group practices 12

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1851660948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN STREET",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "56441",
            "telephone_number": "218-546-7000",
            "fax_number": "218-546-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN STREET",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "56441",
            "telephone_number": "218-546-7000",
            "fax_number": "218-546-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "COLIN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1652871",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.