Hallie Ruhl
Individual provider Active NPI Certified Registered Nurse Anesthetist · Saint Louis Park, MN
NPI 1073236246 · NPPES record last updated Jan 2, 2023
Key facts
- NPI
- 1073236246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2794 (MN)
- Practice address
- 6500 Excelsior Blvd
Saint Louis Park, MN 55426-4702 - Phone
- (952) 993-5000
- NPI assigned
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Metropolitan Anesthesia Network LLP
Park Nicollet Methodist Hospital
Practice addresses (Care Compare)
303 Catlin St
Buffalo, MN 55313-1947
Phone (763) 427-9980
6099 Wayzata Blvd
Suite 300
St Louis Park, MN 55416-5538
Phone (612) 832-9360
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-5000
Hospital & facility affiliations
- Park Nicollet Methodist Hospital
- Buffalo Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230120002041 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012388564 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2794 | MN | MD | Rehabilitation Chiropractor |
| 2209524 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Methodist Hospital | Current |
Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Park Nicollet Methodist Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Allina Health System | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients |
Locations
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
6099 Wayzata Blvd
Ste 300
St Louis Park, MN 55416
Phone (612) 832-9360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2209524 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 2794 | MN | Yes |
Addresses
Primary practice location
6500 Excelsior Blvd
Saint Louis Park, MN 55426-4702
Mailing address
6500 Excelsior Blvd
Saint Louis Park, MN 55426-4702
Phone (952) 993-5000
NPI Registry JSON
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1073236246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUHL",
"first_name": "HALLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-22",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2209524",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis Park, MN
- Emily Rudert
- Beatrice Rue
- Carol Lynn Rue
- Rachel L Ruegemer
- Kaiya Ruff
- Lu Ann Runkle
- Tova Rupp
- Colleen Russell
- Debra Ann Rustad
- Shirley M. Rutherford
All providers in Saint Louis Park, 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 Jan 2, 2023. 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.