THE MINNESOTA KETAMINE AND WELLNESS INSTITUTE PA
THE MINNESOTA KETAMINE AND WELLNESS INSTITUTE PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003408857, based in Maple Grove, MN. The organization lists 4 taxonomy classifications, with Anesthesiology Physician recorded as primary.
Getting there
Here is what surrounds this office in Maple Grove, based on OpenStreetMap data collected Sep 24, 2026. Parking is available about 131 ft away.
Getting here and what is nearby
Parking 83 ft ~1 min
Parking 106 ft ~1 min
Parking 131 ft ~1 min
Gas station Speedway 381 ft ~2 min
Convenience Speedway 407 ft ~2 min
Grocery ALDI 0.32 mi ~7 min
9610 Grove Circle North, Maple Grove 55369-4476
Mo-Su 08:30-20:00
Restaurant McDonald's 0.36 mi ~8 min
Gas station Holiday 0.39 mi ~8 min
Hotel Cambria Suites 0.39 mi ~8 min
9655 Grove Circle North, Maple Grove 55369
Restaurant White Castle 0.39 mi ~8 min
9480 Dunkirk Lane North, Maple Grove 55311
Convenience Holiday 0.40 mi ~9 min
Restaurant Culver's 0.43 mi ~9 min
16380 96th Avenue North, Maple Grove 55311
Mo-Su 10:00-22:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9739584855
- Enrollment ID
- O20210826002931
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Anesthesiology covers
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. NUCC Health Care Provider Taxonomy, code 207L00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207L00000X | Anesthesiology Physician | — | — | primary |
| 261QI0500X | Infusion Therapy Clinic/Center Infusion Therapy | — | — | |
| 261QM0850X | Adult Mental Health Clinic/Center Adult Mental Health | — | — | |
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003408857 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 3, 2021 |
| Last updated | Aug 20, 2021 |
| Status | Active |
| Practice address |
9325 UPLAND LN N STE 370 Maple Grove, MN 55369 (612) 394-8717 Fax (763) 432-5721 |
| Other names |
The Minnesota And Ketamine Wellness Institute Other Name The Minnesota Ketamine And Wellness Institue, P.a. Other Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 4 | 0 | 8 | 8 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 8 | 0 | 7 | 8 | 1 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.