Beth Ellen Johnson
Individual provider Active NPI Certified Registered Nurse Anesthetist · Coon Rapids, MN
NPI 1144477241 · NPPES record last updated Aug 20, 2008
Key facts
- NPI
- 1144477241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R157151-2 (MN)
- Practice address
- 8990 Springbrook Dr NW
Suite 250
Coon Rapids, MN 55433-5850 - Phone
- (763) 398-0099
- Fax
- (763) 398-0124
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090414000627 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6608923438 | Reassigns benefits to 1 organization |
| I20231118000570 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6608923438 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R157151-2 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
400 10th St E
Waconia, MN 55387
2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R157151-2 | MN | Yes |
Addresses
Primary practice location
8990 Springbrook Dr NW
Suite 250
Coon Rapids, MN 55433-5850
Mailing address
8990 Springbrook Dr NW
Suite 250
Coon Rapids, MN 55433-5850
Phone (763) 398-0099
Other names
- Beth Fishel
Other providers in Coon Rapids, MN
- Rebecca Jochum
- Kyle Johannessen
- Kenneth A Johns
- Elizabeth Sunshine Johnson-Gerrits
- Alan Stuart Johnson
- Beth Laurie Johnson
- Blessing Johnson
- Carrie Johnson
- Darla Lynn Johnson
- Elizabeth Anne Johnson
All providers in Coon Rapids, 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 Aug 20, 2008. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.