Active NPI
Tara Munroe, CRNA
- Certified Registered Nurse Anesthetist
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN-100960
- Practice address
- 925 Highland Blvd Ste 1180
Bozeman, MT 59715-6905 - Phone
- (406) 582-4963
- Fax
- (706) 396-3252
- NPI assigned
- Nov 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 087174 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN-100960 | MT | Primary |
Addresses
Primary practice location
925 Highland Blvd Ste 1180
Bozeman, MT 59715-6905
Mailing address
400 10TH St E
Waconia, MN 55387-4552
Phone (888) 209-0305
Other practice location 1
1747 Poly Dr
Billings, MT 59102-1728
Phone (888) 209-0305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194907543 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1747 Poly Dr
Billings, MT 59102-1728
Phone (203) 535-8313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003948 | CT | MD | Professional Counselor |
| 087174 | CT | MD | Certified Registered Nurse Anesthetist |
| APRN-100960 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gallatin Valley Anesthesia Associates PC | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Diamond Anesthesia, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Intercity Radiology, PC | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
1747 Poly Dr
Billings, MT 59102
Phone (406) 219-0700
925 Highland Blvd
Ste 1180
Bozeman, MT 59715
Phone (406) 582-4963
202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306
30 13th St
Havre, MT 59501
Phone (406) 262-1302
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Billings, MT
- NPI 1912553280
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bozeman, MT
- NPI 1336165182
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
- Critical Access Hospital
- Havre, MT
- NPI 1578536355
-
- Clinic/Center
- Havre, MT
- NPI 1669447967
-
- Specialist
- Bozeman, MT
- NPI 1356390736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1194907543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 10TH ST E",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "888-209-0305",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 HIGHLAND BLVD STE 1180",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156905",
"telephone_number": "406-582-4963",
"fax_number": "706-396-3252"
}
],
"practiceLocations": [
{
"address_1": "1747 Poly Dr",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591021728",
"country_code": "US",
"telephone_number": "888-209-0305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNROE",
"first_name": "TARA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "087174",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "APRN-100960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194907543",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.