Active NPI
Wilma K Gillis, CRNA
- Certified Registered Nurse Anesthetist
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3046
- Practice address
- 16300 Highwood Dr
Minnetonka, MN 55345-2643 - Phone
- (608) 263-8100
- NPI assigned
- Feb 28, 2006
- 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 | 3046 | MN | Primary |
Addresses
Primary practice location
16300 Highwood Dr
Minnetonka, MN 55345-2643
Mailing address
16300 Highwood Dr
Minnetonka, MN 55345-2643
Phone (608) 332-3844
Other practice location 1
16300 Highwood Dr
Minnetonka, MN 55345-2643
Phone (608) 244-9322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3046 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1043286099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16300 HIGHWOOD DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553452643",
"telephone_number": "608-332-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16300 HIGHWOOD DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553452643",
"telephone_number": "608-263-8100"
}
],
"practiceLocations": [
{
"address_1": "16300 Highwood Dr",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553452643",
"country_code": "US",
"telephone_number": "608-244-9322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLIS",
"first_name": "WILMA",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "3046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.