Active NPI
Kelly Nicole Tesser, RN
- Certified Registered Nurse Anesthetist
- Mukwonago, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 120305
- Practice address
- 115 Michaels CT Apt 7
Mukwonago, WI 53149-1175 - Phone
- (920) 410-6719
- NPI assigned
- Sep 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 120305 | MN | Primary |
Addresses
Primary practice location
115 Michaels CT Apt 7
Mukwonago, WI 53149-1175
Mailing address
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (190) 410-6719
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6786
Hospital & facility affiliations
- Allina United Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2164 | MN | MD | Marriage & Family Therapist |
| 120305 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | 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
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1174830152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SMITH AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022344",
"telephone_number": "190-410-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MICHAELS CT APT 7",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531491175",
"telephone_number": "920-410-6719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESSER",
"first_name": "KELLY",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-11",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "120305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mukwonago, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.