Individual provider Active NPI

Rebecca Kohegyi, CRNA

  • Certified Registered Nurse Anesthetist
  • Coon Rapids, MN
National Provider Identifier
1104173202
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
090383 Issued in MN
Practice address
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone
(763) 236-6000
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R 191432-8 MN
Certified Registered Nurse Anesthetist 367500000X APRN11016774 FL
Certified Registered Nurse Anesthetist 367500000X 090383 MN Primary

Addresses

Primary practice location

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522

Mailing address

8990 Springbrook Dr NW
Suite 250
Coon Rapids, MN 55433-5850
Phone (763) 398-1176

Other practice location 1

1157 S State Road 7
Wellington, FL 33414-6101
Phone (561) 214-6094

Other practice location 2

3401 Pga Blvd Ste 520
Palm Beach Gardens, FL 33410-2823
Phone (561) 765-3600

Other practice location 3

1117 N Olive Ave Ste 201
West Palm Beach, FL 33401-3520
Phone (561) 327-7492

Other practice location 4

2351 S Seacrest Blvd Ste 138
Boynton Beach, FL 33435-6759
Phone (561) 732-5900

Other practice location 5

2920 N Cascade Ave Ste 300
Colorado Springs, CO 80907-6262
Phone (719) 636-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CO, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130820000230 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537310263 Reassigns benefits to 2 organizations
I20230523000333 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537310263 Reassigns benefits to 2 organizations
I20240405001703 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537310263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates S.C.Group PAC ID 4385677814, 42 clinicians

Practice addresses (Care Compare)

411 Westwood Dr
Wausau, WI 54401-4152
Phone (715) 847-2558

Merit-based Incentive Payment System (MIPS)

Final score
90.86 of 100Reported as group
Quality
86.95
Promoting interoperability
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 191432-8MNMDRegistered Nurse
090383MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Surgery Center LLC CurrentSince Apr 1, 2023 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2024 Accepting new patients
Gi Alliance Anesthesia of Florida, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 5, 2024 Accepting new patients
Centers for Gastroenterology CurrentSince May 30, 2023 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2024 Accepting new patients
Peak Gastroenterology Associates CurrentSince May 1, 2024 Accepting new patients

Locations

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

2920 N Cascade Ave
Fl 1
Colorado Springs, CO 80907
Phone (719) 362-2300

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

2351 S Seacrest Blvd
Ste 138
Boynton Beach, FL 33435
Phone (561) 732-5900

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

5645 S Military Trl
Lake Worth, FL 33463
Phone (561) 689-4500

1157 S State Road 7
Wellington, FL 33414
Phone (561) 214-6094

1117 N Olive Ave
Ste 201
West Palm Beach, FL 33401
Phone (561) 327-7492

2751 Commercial Blvd
Ste 7
Chippewa Fls, WI 54729
Phone (715) 738-1800

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1104173202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 SPRINGBROOK DR NW",
            "address_2": "SUITE 250",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335850",
            "telephone_number": "763-398-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332522",
            "telephone_number": "763-236-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1157 S State Road 7",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146101",
            "country_code": "US",
            "telephone_number": "561-214-6094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Pga Blvd Ste 520",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102823",
            "country_code": "US",
            "telephone_number": "561-765-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1117 N Olive Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013520",
            "country_code": "US",
            "telephone_number": "561-327-7492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 S Seacrest Blvd Ste 138",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334356759",
            "country_code": "US",
            "telephone_number": "561-732-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 N Cascade Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076262",
            "country_code": "US",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHEGYI",
        "first_name": "REBECCA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 191432-8",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11016774",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "090383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.