Marcia Ann Kluck, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

046716 Issued in MN

Practice address

2650 Riverside LN NE
Rochester, MN 55906

Phone

(507) 421-7293

NPI assigned

Aug 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mkluck412178@direct.centracare.com

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.

• St. Cloud Orthopedic Associates, LTD.

  • Orthopaedic Surgery Physician
  • Sartell, MN
  • NPI 1083638761
  NPD (past)
• St. Luke'S Hospital of Duluth

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Duluth, MN
  • NPI 1073480968
  NPD (past)
• St. Luke'S Hospital of Duluth

  • Ambulatory Surgical Clinic/Center
  • Duluth, MN
  • NPI 1649223629

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Mercy Tyler Health Systems

  • Surgery Physician
  • Tunkhannock, PA
  • NPI 1881616985
  NPD (past)
• Mercy Tyler Hospital

  • General Acute Care Hospital
  • Tunkhannock, PA
  • NPI 1386667533
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1134112485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIVERSIDE LN NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063455",
            "telephone_number": "507-421-7293",
            "fax_number": "507-289-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIVERSIDE LN NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55906",
            "telephone_number": "507-421-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCK",
        "first_name": "MARCIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "R 093453-2",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "046716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Caroline Klompenhower, MSW, LICSW
• Arian L Klose, DNP, CRNP
• Kayte Kloss, OTR/L
• KLS Optical Inc.
• Craig A Kluck, CRNA
• Luke Joseph Klugherz, MD
• Laraine June Klunder, APRN, CRNA
• Alison Knapp, DNP, APRN, CNP
• Amanda Knapton, NP
• Felix Knauf, MD

• Certified Registered Nurse Anesthetist in Rochester, MN
• Providers in Rochester, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.