The Minnesota Ketamine and Wellness Institute PA
NPI 1003408857 · Anesthesiology Physician · Maple Grove, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Minnesota Ketamine and Wellness Institute PA is a Anesthesiology Physician organization in Maple Grove, MN (NPI 1003408857).
Provider details
- NPI number
- 1003408857
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christena Hatcher, Cfo(612) 394-8717
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- The Minnesota Ketamine and Wellness Institue, P.A.
- Other name
- The Minnesota Ketamine and Wellness Institue, P.A.
- Other name
- The Minnesota and Ketamine Wellness Institute
Registry dates
- Enumerated
- 2021-02-03
- Last updated
- 2021-08-20
- Certified
- 2021-08-20
Frequently asked questions
- What is The Minnesota Ketamine and Wellness Institute PA's NPI number?
- The Minnesota Ketamine and Wellness Institute PA's National Provider Identifier (NPI) is 1003408857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Minnesota Ketamine and Wellness Institute PA?
- The Minnesota Ketamine and Wellness Institute PA is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is The Minnesota Ketamine and Wellness Institute PA located?
- The Minnesota Ketamine and Wellness Institute PA's practice location on file with NPPES is 9325 Upland Ln N Ste 370, Maple Grove, MN 55369-4463.
- What is The Minnesota Ketamine and Wellness Institute PA's phone number?
- The practice phone number listed in the NPPES registry for The Minnesota Ketamine and Wellness Institute PA is (612) 394-8717.
- Does The Minnesota Ketamine and Wellness Institute PA accept Medicare?
- The Minnesota Ketamine and Wellness Institute PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Minnesota Ketamine and Wellness Institute PA?
- The authorized official listed on The Minnesota Ketamine and Wellness Institute PA's NPPES record is Christena Hatcher, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Minnesota Ketamine and Wellness Institute PA's NPI active?
- Yes — The Minnesota Ketamine and Wellness Institute PA's NPI (1003408857) is active in the NPPES registry as of the last update on 2021-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.