Active NPI
Gary K Cozine, CRNA
- Certified Registered Nurse Anesthetist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1877
- Practice address
- 800 E 28TH St
Minneapolis, MN 55407 - Phone
- (865) 342-8900
- Fax
- (865) 691-0843
- NPI assigned
- Feb 14, 2006
- Last updated
- Jun 13, 2018
- 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 | 1877 | MN | Primary |
Addresses
Primary practice location
800 E 28TH St
Minneapolis, MN 55407
Mailing address
2854 Highway 55
Suite 130
Eagan, MN 55121
Phone (651) 842-3344
Other practice location 1
393 Dunlap St
St Paul, MN 55104
Phone (651) 602-7245
Other practice location 2
9645 Grove Cir N Ste 250
Maple Grove, MN 55369-4466
Phone (763) 201-8191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 784242200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Hundertmark Rd
Suite 200
Chaska, MN 55318-1152
Phone (763) 201-8191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42992 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients | |
| Regina Medical Center | Past | Accepting new patients | |
| Interventional Spine and Pain Physicians, PA | Past | Accepting new patients | |
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
11091 Ulysses St NE
Ste 400
Blaine, MN 55434
Phone (763) 421-9410
9801 DuPont Ave S
Ste 100
Bloomington, MN 55431
14000 Nicollet Ave
Ste 104
Burnsville, MN 55337
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
3000 Hundertmark Rd
Ste 200
Chaska, MN 55318
Phone (952) 479-6304
7700 France Ave S
Ste 260
Edina, MN 55435
1175 Nininger Rd
Hastings, MN 55033
Phone (651) 404-1000
9600 Upland Ln N
Ste 160
Maple Grove, MN 55369
9645 Grove Cir N
Ste 250
Maple Grove, MN 55369
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
8100 W 78th St
Ste 220
Minneapolis, MN 55439
Phone (952) 914-8400
10709 Wayzata Blvd
Ste 100
Minnetonka, MN 55305
Phone (763) 553-1142
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200
400 10th St E
Waconia, MN 55387
7125 Tamarack Rd
Ste 200
Woodbury, MN 55125
Phone (651) 748-4444
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Maple Grove, MN
- NPI 1104176205
-
dba Certified Anesthesia Care, Inc
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Specialist
- Maple Grove, MN
- NPI 1326398561
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1326066085
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1174597363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2854 HIGHWAY 55",
"address_2": "SUITE 130",
"city": "EAGAN",
"state": "MN",
"postal_code": "55121",
"telephone_number": "651-842-3344",
"fax_number": "651-842-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 28TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55407",
"telephone_number": "865-342-8900",
"fax_number": "865-691-0843"
}
],
"practiceLocations": [
{
"address_1": "393 Dunlap St",
"address_purpose": "LOCATION",
"city": "St Paul",
"state": "MN",
"postal_code": "55104",
"country_code": "US",
"telephone_number": "651-602-7245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9645 Grove Cir N Ste 250",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553694466",
"country_code": "US",
"telephone_number": "763-201-8191",
"fax_number": "763-201-8192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COZINE",
"first_name": "GARY",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "1877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "784242200",
"state": "MN"
}
],
"endpoints": [],
"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 Jun 13, 2018; 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.