Individual provider Active NPI

Nathan Jeffrey King, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Alexandria, MN
National Provider Identifier
1023728623
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
145429 Issued in MN
Practice address
111 17TH Ave E
Alexandria, MN 56308-5273
Phone
(320) 762-1511
NPI assigned
Dec 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2139115 MN
Certified Registered Nurse Anesthetist 367500000X 145429 MN Primary

Addresses

Primary practice location

111 17TH Ave E
Alexandria, MN 56308-5273

Mailing address

1500 Irving St
Alexandria, MN 56308-0046
Phone (320) 762-6084

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nking662219@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230113001415 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759752587 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacial Ridge Hospital DistrictGroup PAC ID 5294789194, shared by 7 NPIs, 69 clinicians
Alomere HealthGroup PAC ID 9931690047, 123 clinicians

Practice addresses (Care Compare)

10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-4521

111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511

Hospital & facility affiliations

  • Alomere Health Hospital, Alexandria, MN, CCN 240030
  • Glacial Ridge Hospital Hospital, Glenwood, MN, CCN 241376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2791MNMDPsychologist
145429MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Southwest LLC CurrentSince Feb 1, 2026 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Central Minnesota Anesthesia Providers, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Centracare Clinic CurrentSince Dec 1, 2022 Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Glacial Ridge Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Centracare Clinic Current Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Feb 1, 2026 Accepting new patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Glacial Ridge Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Centracare Clinic CurrentSince Dec 1, 2022 Accepting new patients
Regional Anesthesia Services PA PastSince May 1, 2023 Accepting new patients

Locations

519 22nd Ave E
Alexandria, MN 56308
Phone (320) 219-7611

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

1500 Irving St
Alexandria, MN 56308
Phone (320) 762-0857

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

15620 Edgewood Dr
Ste 200
Brainerd, MN 56401
Phone (218) 270-3111

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090

3701 12th St N
Ste 100
Saint Cloud, MN 56303
Phone (320) 253-7257

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

804 23rd St S
Sartell, MN 56377
Phone (320) 230-7788

400 10th St E
Waconia, MN 55387

935 Wayzata Blvd E
Ste 200
Wayzata, MN 55391
Phone (763) 220-8030

935 Wayzata Blvd E
Ste 101
Wayzata, MN 55391
Phone (763) 559-4500

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c
  • Direct secure messaging: nking662219@direct.centracare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1023728623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 IRVING ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563080046",
            "telephone_number": "320-762-6084",
            "fax_number": "320-762-6454"
        },
        {
            "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": "320-762-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "NATHAN",
        "middle_name": "JEFFREY",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2139115",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "145429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nking662219@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nking662219@direct.centracare.com",
            "address_1": "1406 6th Ave N",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563031900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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.

Verify at the official NPI Registry.