Active NPI
Katie Ann Anderson, CRNA
- Certified Registered Nurse Anesthetist
- Minocqua, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11176
- Practice address
- 9576 Highway 70
Minocqua, WI 54548-9067 - Phone
- (715) 358-1740
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
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.
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
-
- Rehabilitation Clinic/Center
- Saint Paul, MN
- NPI 1134157092
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
Care Compare affiliation Hospital -
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1669459913
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Anesthesia Providers LLC
Practice addresses (Care Compare)
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-4097
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161205001687 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2163702358 | Reassigns benefits to 2 organizations |
| I20211012001228 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2163702358 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R189625-5 | MN | MD | Certified Registered Nurse Anesthetist |
| 11176 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regions Hospital | Current | Accepting new patients |
Locations
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R189625-5 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 11176 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9576 Highway 70
Minocqua, WI 54548-9067
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5211
Other practice location 1
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 273-3000
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2023.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1114370210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9576 HIGHWAY 70",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "545489067",
"telephone_number": "715-358-1740"
}
],
"practiceLocations": [
{
"address_1": "500 Harvard St SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554550363",
"country_code": "US",
"telephone_number": "612-273-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATIE",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R189625-5",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "11176",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "9576 Highway 70",
"city": "Minocqua",
"state": "WI",
"country_code": "US",
"postal_code": "545489067",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minocqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.