Active NPI
Heidi Genereux, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Breckenridge, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R 095825 9
- Practice address
- 2400 St Francis Dr
Breckenridge, MN 56520-1025 - Phone
- (218) 643-3000
- Fax
- (574) 268-0684
- NPI assigned
- Aug 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R 095825 9 | MN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R20219 | ND |
Addresses
Primary practice location
2400 St Francis Dr
Breckenridge, MN 56520-1025
Mailing address
PO Box 1296
Warsaw, IN 46581-1296
Phone (574) 268-9640
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430051818 | Other | MN | PALMETTO GBA - RAILROAD MEDICARE |
| 12110 | Medicaid | ND | |
| 149842800 | Medicaid | MN | |
| 430051818 | Other | ND | PALMETTA GBA - RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Francis Medical Center
Practice addresses (Care Compare)
2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (218) 643-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 1.88 of 100
- Quality
- 0
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1199 | MN | MD | Registered Dietitian |
| R 095825 9 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital of Valley City | Current | Accepting new patients | |
| St. Francis Medical Center | Current | Accepting new patients | |
| Mercy Hospital of Valley City | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| St. Francis Medical Center | Current | Accepting new patients | |
| Lisbon Area Health Services | Past | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients |
Locations
3293 Solutions Ctr
Chicago, IL 60677
3265 Solutions Ctr
Chicago, IL 60677
2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226
570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440
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.
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1639162381
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1891954574
-
- Critical Access Hospital
- Valley City, ND
- NPI 1477549111
-
- Durable Medical Equipment & Medical Supplies
- Valley City, ND
- NPI 1457313819
-
- Clinic/Center
- Valley City, ND
- NPI 1972698975
-
- Medicare Defined Swing Bed Hospital Unit
- Lisbon, ND
- NPI 1033292875
-
- Rural Health Clinic/Center
- Milnor, ND
- NPI 1235215252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1124135629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1296",
"city": "WARSAW",
"state": "IN",
"postal_code": "465811296",
"telephone_number": "574-268-9640",
"fax_number": "574-268-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 ST FRANCIS DR",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565201025",
"telephone_number": "218-643-3000",
"fax_number": "574-268-0684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENEREUX",
"first_name": "HEIDI",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 095825 9",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R20219",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA - RAILROAD MEDICARE",
"identifier": "430051818",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12110",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149842800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTA GBA - RAILROAD MEDICARE",
"identifier": "430051818",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.