BRAINERD LAKES SURGERY CENTER L L C NPI 1750378295

NPI Information

  • NPI: 1750378295
  • Provider Name: BRAINERD LAKES SURGERY CENTER L L C
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 24D1053626
  • Address: 13114 ISLE DR
    BAXTER, MN
    ZIP 56425
  • Phone: (218) 822-2400

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NPI Details

BRAINERD LAKES SURGERY CENTER L L C is an ambulatory surgical clinic center in Baxter, MN. BRAINERD LAKES SURGERY CENTER L L C NPI is 1750378295. The provider is registered as an organization entity type.

The provider's business location address is:

13114 ISLE DR
BAXTER, MN
ZIP 56425-330
Phone: (218) 822-2400
Fax: (218) 822-2401

The provider's authorized official is Melissa Schwendeman .
The authorized official title is Administrator and has the following contact phone number (218) 822-2415.

The CLIA number assigned to this NPI record is 24D1053626 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
  • Insertion of eye fluid drainage device (HCPCS:66183)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Repair of chronic torn shoulder rotator cuff (HCPCS:23412)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Fusion of big toe at joint with foot (HCPCS:28750)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)

The enumeration date for this NPI number is 9/30/2005 and was last updated on 10/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical328113MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10L00BROTHERMINNESOTABCBS
22314785OTHERMINNESOTAAMERICAS PPO ARAZ
36800051OTHERMINNESOTASELECT CARE
4105730OTHERMINNESOTAHEALTHPARTNERS
5181112OTHERMINNESOTAUCARE
61043422OTHERMINNESOTAPREFERRED ONE
7P00205406OTHERMINNESOTAPALMETTO GBA
86800051OTHERMINNESOTAMEDICA
9201937000MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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