Individual provider Active NPI

Kirsten Crawford, CRNA

  • Certified Registered Nurse Anesthetist
  • Fargo, ND
National Provider Identifier
1992221907
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2170 Issued in MN
Practice address
801 Broadway N
Fargo, ND 58102-3641
Phone
(701) 234-1230
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X R37859 ND
Certified Registered Nurse Anesthetist 367500000X 2170 MN Primary

Addresses

Primary practice location

801 Broadway N
Fargo, ND 58102-3641

Mailing address

442 Foxtail Dr
West Fargo, ND 58078-7964

Other practice location 1

800 E 28th St
Minneapolis, MN 55407-3723
Phone (612) 863-4000

Other practice location 2

13911 Ridgedale Dr Ste 404B
Minnetonka, MN 55305-1777
Phone (612) 810-4738

Other names 1

  • Kirsten Boekelheide Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180226001109 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517228026 Reassigns benefits to 6 organizations
I20190116001370 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517228026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians

Practice addresses (Care Compare)

415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R37859NDMDCritical Care Medicine Registered Nurse
2170MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Glacial Ridge Hospital District CurrentSince Aug 1, 2022 Accepting new patients
Glacial Ridge Hospital District CurrentSince Aug 1, 2022 Accepting new patients
Astera Health CurrentSince Nov 1, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Dec 10, 2018 Accepting new patients
Astera Health Current Accepting new patients
Perham Hospital District Current Accepting new patients
Lakewood Health System CurrentSince Oct 9, 2023 Accepting new patients
Lakewood Health System Current Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Lakewood Health System CurrentSince Oct 9, 2023 Accepting new patients
Astera Health CurrentSince Nov 1, 2022 Accepting new patients
Cssa, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Sanford Medical Center Fargo CurrentSince Dec 10, 2018 Accepting new patients
Regional Anesthesia Services PA PastSince Sep 1, 2014 Accepting new patients

Locations

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

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

400 10th St E
Waconia, MN 55387

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

350 23rd Ave E
Ste 201
West Fargo, ND 58078
Phone (701) 356-4770

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c
  • Direct secure messaging: kcrawford645860@direct.centracare.com

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 and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1992221907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 FOXTAIL DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E 28th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073723",
            "country_code": "US",
            "telephone_number": "612-863-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13911 Ridgedale Dr Ste 404B",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051777",
            "country_code": "US",
            "telephone_number": "612-810-4738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "KIRSTEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "ND",
            "license": "R37859",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "2170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "BOEKELHEIDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.