Active NPI
Christopher Leck, CRNA
- Certified Registered Nurse Anesthetist
- Minneapolis, MN
National Provider Identifier
1154978153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 238722-6
- Practice address
- 6500 Excelsior Blvd
Minneapolis, MN 55426-4702 - Phone
- (952) 993-5000
- NPI assigned
- Aug 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 238722-6 | MN | Primary |
Addresses
Primary practice location
6500 Excelsior Blvd
Minneapolis, MN 55426-4702
Mailing address
9822 Juniper St NW
Coon Rapids, MN 55433-5439
Phone (651) 808-4785
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cleck210@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 524-6487
Hospital & facility affiliations
- Reedsburg Area Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 94.84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238722-6 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reedsburg Area Medical Center Inc | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients |
Locations
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
Interoperability endpoints
- cleck727550@direct.unitypoint.org
Organizations & group practices 3
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
- Reedsburg, WI
- NPI 1891796710
-
- Rural Health Clinic/Center
- La Valle, WI
- NPI 1437049566
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1154978153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9822 JUNIPER ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335439",
"telephone_number": "651-808-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECK",
"first_name": "CHRISTOPHER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "238722-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cleck210@gmail.com",
"affiliation": "N",
"address_1": "6500 Excelsior Blvd",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554264702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.