Active NPI
Amber Michelle-Houge Block
- Certified Registered Nurse Anesthetist
- Alexandria, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1860540
- Practice address
- 111 17TH Ave E
Alexandria, MN 56308-5273 - Phone
- (320) 762-1144
- Fax
- (320) 762-6100
- NPI assigned
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1860540 | MN | Primary |
Addresses
Primary practice location
111 17TH Ave E
Alexandria, MN 56308-5273
Mailing address
13911 Ridgedale Dr Ste 350
Minnetonka, MN 55305-1770
Phone (888) 930-3220
Other practice location 1
13911 Ridgedale Dr Ste 350
Minnetonka, MN 55305-1770
Phone (888) 930-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511
Hospital & facility affiliations
- Alomere Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1860540 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alomere Health | Current | Accepting new patients | |
| Regional Anesthesia Services PA | Current | Accepting new patients | |
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients |
Locations
111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511
13911 Ridgedale Dr
Ste 404B
Minnetonka, MN 55305
Phone (612) 636-0061
13911 Ridgedale Dr
Ste 350
Minnetonka, MN 55305
Phone (952) 932-0998
Interoperability endpoints
- https://epicmobile.centracare.com/fhir/api/FHIR/R4
- ablock193780@direct.centracare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
- Anesthesiology Physician
- Minnetonka, MN
- NPI 1073621850
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1467318246
-
- Clinical Medical Laboratory
- Alexandria, MN
- NPI 1811988025
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1003169608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13911 RIDGEDALE DR STE 350",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051770",
"telephone_number": "888-930-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 17TH AVE E",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563085273",
"telephone_number": "320-762-1144",
"fax_number": "320-762-6100"
}
],
"practiceLocations": [
{
"address_1": "13911 Ridgedale Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553051770",
"country_code": "US",
"telephone_number": "888-930-3220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOCK",
"first_name": "AMBER",
"middle_name": "MICHELLE-HOUGE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1860540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.