Ridgeview Medical Center
NPI 1528364429ActiveOrganization· Nurse Anesthetist, Certified Registered· Waconia, MN
Nurse Anesthetist, Certified Registered in Waconia, Minnesota, registered in NPPES in February 2011, part of Ridgeview Medical Center. The authorized official on file is Michael Phelps, Presdient/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528364429 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ridgeview Medical Center |
| NPI issued | Feb 10, 2011 |
| Last updated in NPPES | Dec 8, 2023 |
| Certified by provider | Dec 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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