Ketamine Wellness Centers Minnesota, LLC
NPI 1689234882ActiveOrganization· Anesthesiology· Burnsville, MN
Anesthesiology in Burnsville, Minnesota, registered in NPPES in June 2019. The authorized official on file is Anita D. Jerger, Executive Assistant.
Overview
| NPI | 1689234882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2019 |
| Last updated in NPPES | Aug 21, 2020 |
| Certified by provider | Aug 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| Registered Nurse | 163W00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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