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THE MINNESOTA KETAMINE AND WELLNESS INSTITUE, P.A.
NPI 1003408857
Anesthesiology in Maple Grove, MN

Active since February 03, 2021
9325 UPLAND LN N STE 370, MAPLE GROVE, MN 55369(612) 394-8717(763) 432-5721 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2021, Aug 2, 2021, Feb 3, 2021 (3 updates tracked since 2021).

About The Minnesota Ketamine And Wellness Institue, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MINNESOTA KETAMINE AND WELLNESS INSTITUE, P.A. (NPI 1003408857) is a healthcare organization registered as an anesthesiology in Maple Grove, Minnesota and active in the NPI registry since February 2021. The organization lists Christena Regena Hatcher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003408857
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameTHE MINNESOTA KETAMINE AND WELLNESS INSTITUTE PA
Location Address9325 UPLAND LN N STE 370Maple Grove, MN 55369-4463
Mailing Address9325 Upland Ln N Ste 370Maple Grove, MN 55369-4463 · (612) 394-8717 · Fax (763) 432-5721
Phone(612) 394-8717
Fax(763) 432-5721
Organization SubpartNo
Authorized OfficialChristena Regena HatcherCfo · (612) 394-8717
Enumeration DateFebruary 3, 2021
Last NPPES UpdateAugust 20, 20213 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1003408857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
9325 UPLAND LN N STE 370, Maple Grove, MN 55369
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Other Names 2

Other NameThe Minnesota Ketamine And Wellness Institue, P.a.
Other NameThe Minnesota And Ketamine Wellness Institute

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Minnesota Ketamine And Wellness Institue, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Minnesota Ketamine And Wellness Institue, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Lindsey Hatcher, NP
Nurse Practitioner
NPI 1801679634
9325 UPLAND LN N STE 370
Maple Grove, MN 55369
(763) 388-4767
✔ PECOS✔ Accepts MedicareSame address
Christena Hatcher, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427004050
8990 SPRINGBROOK DR NW
Coon Rapids, MN 55433
(763) 398-0099
✔ PECOS10 mi
Rebecca Berry, LICSW
Clinical Social Worker
NPI 1427833342
1032 GRAND AVE STE 202
Saint Paul, MN 55105
(612) 315-9905
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Minnesota Ketamine And Wellness Institute PA's NPI number?

The NPI number for The Minnesota Ketamine And Wellness Institute PA is 1003408857. It was assigned to this organization in the NPPES registry on February 3, 2021. The provider is also known as The Minnesota Ketamine And Wellness Institue, P.A. and The Minnesota and Ketamine Wellness Institute.

Where is The Minnesota Ketamine And Wellness Institute PA located?

The Minnesota Ketamine And Wellness Institute PA is located at 9325 Upland Ln N Ste 370, Maple Grove, MN 55369. The listed phone number is (612) 394-8717.

What is The Minnesota Ketamine And Wellness Institute PA's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is The Minnesota Ketamine And Wellness Institute PA enrolled in Medicare?

Yes. The Minnesota Ketamine And Wellness Institute PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Minnesota Ketamine And Wellness Institute PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to The Minnesota Ketamine And Wellness Institute PA, in Certified Registered Nurse Anesthetist (CRNA), Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Minnesota Ketamine And Wellness Institute PA accept?

Health plans from HealthPartners list The Minnesota Ketamine And Wellness Institute PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Minnesota Ketamine And Wellness Institute PA was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.