Active NPI
Nathan Jeffrey King, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Alexandria, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 145429
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nking662219@direct.centracare.com | Direct |
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glacial Ridge Hospital District
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
- Glacial Ridge Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2791 | MN | MD | Psychologist |
| 145429 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Central Minnesota Anesthesia Providers, PLLC | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Regional Anesthesia Services PA | Past | 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
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
- 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.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
- Pain Medicine (Anesthesiology) Physician
- Saint Augusta, MN
- NPI 1417315185
-
- Family Medicine Physician
- Brooten, MN
- NPI 1255348223
-
- Critical Access Hospital
- Glenwood, MN
- NPI 1538178520
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1467318246
-
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
- Medical Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1790201739
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1912664889
-
- Rural Health Clinic/Center
- Starbuck, MN
- NPI 1063952026
-
- Clinical Medical Laboratory
- Alexandria, MN
- NPI 1811988025
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
- Critical Access Hospital
- Glenwood, MN
- NPI 1538178520
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.