| Amanda J Ingvaldsen, CRNA | |
|
8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 | |
| (763) 398-0099 | |
| (763) 398-0124 |
| Full Name | Amanda J Ingvaldsen |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8990 Springbrook Dr Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790882967 | NPI | - | NPPES |
| 474L5IN | Other | MN | BCBSMN |
| 965175000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 143522-1 (Minnesota) | Primary |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Anesthesiology, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960798 PECOS PAC ID: 9335033034 Enrollment ID: O20040212000459 |
| Entity Name | St Cloud Outpatient Surgery Ltd |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1124084843 PECOS PAC ID: 6800877622 Enrollment ID: O20040527000651 |
| Entity Name | Certified Anesthesia Care Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699736348 PECOS PAC ID: 9436439114 Enrollment ID: O20161215001488 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Ingvaldsen, CRNA 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 Ph: (763) 398-0099 | Amanda J Ingvaldsen, CRNA 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 Ph: (763) 398-0099 |
Mark Retz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Suite 250, Coon Rapids, MN 55433 Phone: 763-398-0124 | |
Michael D Thyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 | |
Cynthia J Martinson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 | |
Jeffrey Alan Leech Ii, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Neil H Stock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 | |
Kristina K Munyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 | |
Scott M Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 |