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Ketamine Wellness Centers Minnesota, LLC

Anesthesiology Physician in Burnsville, MN · enumerated 2019 · authorized official Anita Jerger, Executive Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689234882

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Registry record

Entity type Organization (Type 2)
Legal business name Ketamine Wellness Centers Minnesota, LLC
Practice address 11995 County Road 11 Ste 220, Burnsville, MN, 55337
Phone (855) 538-9355
Fax (844) 538-9355
Enumeration date Jun 19, 2019
Last updated in NPPES Aug 21, 2020

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers Secondary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Anita Jerger
Title Executive Assistant
Phone (855) 538-9355

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ketamine Wellness Centers Minnesota, LLC?
The NPI for Ketamine Wellness Centers Minnesota, LLC is 1689234882, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ketamine Wellness Centers Minnesota, LLC?
NPPES lists Anita Jerger (Executive Assistant) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-21.