Heidi L Andruski, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R27377 Issued in ND

Practice address

1451 44TH Ave S
Grand Forks, ND 58201-3434

Phone

(701) 780-1700

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Heidi Lynn Stahl Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Grand Forks Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Grand Forks, ND
  • NPI 1447727946

  ND, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Carrington Health Center

  • Critical Access Hospital
  • Carrington, ND
  • NPI 1205807013

  ND

  Medicare reassignment NPD
• Carrington Health Center

  • Rural Health Clinic/Center
  • Carrington, ND
  • NPI 1558389338

  ND

  Medicare reassignment NPD
• Cavalier County Memorial Hospital Association

  • Critical Access Hospital
  • Langdon, ND
  • NPI 1750328662

  ND

  Medicare reassignment NPD
• Mercy Hospital of Valley City

  • Critical Access Hospital
  • Valley City, ND
  • NPI 1477549111

  ND

  Medicare reassignment NPD
• Northwood Deaconess Health Center

  • Critical Access Hospital
  • Northwood, ND
  • NPI 1356449136

  ND

  Medicare reassignment NPD
• Pembina County Memorial Hospital Association

  • Rural Health Clinic/Center
  • Cavalier, ND
  • NPI 1417093949

  ND

  Medicare reassignment NPD
• Carrington Health Center

  • Critical Access Hospital
  • Carrington, ND
  • NPI 1598736019
  NPD
• Cavalier County Memorial Hospital Association

  • Clinic/Center
  • Langdon, ND
  • NPI 1336201433
  NPD
• Mercy Hospital

  • Durable Medical Equipment & Medical Supplies
  • Valley City, ND
  • NPI 1457313819
  NPD
• Mercy Hospital of Valley City

  • Clinic/Center
  • Valley City, ND
  • NPI 1972698975
  NPD
• Northwood Deaconess Health Center

  • Rural Health Clinic/Center
  • Binford, ND
  • NPI 1023550118
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1881780146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 LAKE DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018321",
            "telephone_number": "701-746-7441",
            "fax_number": "701-746-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 44TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013434",
            "telephone_number": "701-780-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUSKI",
        "first_name": "HEIDI",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R27377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00440923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "365M4ST",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368665500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24572",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13129",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "STAHL",
            "middle_name": "LYNN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Raymond Anderson, PA-C
• Shaylah Anderson
• Tiffany Jean Anderson, DPT
• Wesley Anderson, DPT
• Laura K. Andreson, D.O.
• Charlie Joseph Andrys
• Anew Angela Muhs Licsw PLLC
• Anew Julie Riddle MSW Licsw PLLC
• Jennifer Joy Anhorn, SLP
• Rebecca Annis, LCSW

• All providers in Grand Forks, ND
• Certified Registered Nurse Anesthetist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.