David William Kroll, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Edina, MN
NPI 1013206762 · NPPES record last updated May 16, 2011
Key facts
- NPI
- 1013206762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 083440 (MN)
- Practice address
- 6401 France Ave S
Edina, MN 55435 - Phone
- (925) 924-5000
- NPI assigned
- Apr 4, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Welia Health
Practice addresses (Care Compare)
301 Hwy 65 S
Mora, MN 55051-1899
Phone (320) 679-1212
Hospital & facility affiliations
- Welia Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110615000657 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8022295278 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083440 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welia Health | Current |
Accepting new patients | |
| Welia Health | Current | Accepting new patients |
Locations
301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 083440 | MN | Yes |
Addresses
Primary practice location
6401 France Ave S
Edina, MN 55435
Mailing address
1012 N 19TH St
Superior, WI 54880
Phone (925) 924-5000
Other providers in Edina, MN
- Megan Marie Kristan
- Kristin S. Kildahl, Ma, LP, LLC
- Marius Kristupaitis
- Jessica Kroeger
- John Joseph Krol
- Lynn Kay Wutschke Kron
- Jon C Krook
- Shawnee Lee Krueger
- Luke Arthur Krystosek
- Summer Kubalak
All providers in Edina, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.