Active NPI
Debora K Duffy, CRNA
- Certified Registered Nurse Anesthetist
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1819753
- Practice address
- 201 E Nicollet Blvd
Burnsville, MN 55337-5714 - Phone
- (952) 892-2181
- NPI assigned
- Feb 26, 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 | R1819753 | MN | Primary |
Addresses
Primary practice location
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Mailing address
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2475 Dean St
St Charles, IL 60175-4831
Phone (630) 584-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1819753 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apollo Medical Group of Illinois LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Ambulatory Surgery Center, LP | Current | Accepting new patients |
Locations
3034 W Peterson Ave
Chicago, IL 60659
Phone (773) 973-7432
2210 Dean St
St Charles, IL 60175
Phone (630) 443-3397
2475 Dean St
St Charles, IL 60175
Phone (630) 584-9800
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1730934597
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- St Charles, IL
- NPI 1629082326
-
- Ambulatory Surgical Clinic/Center
- St Charles, IL
- NPI 1104819424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1265754691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E NICOLLET BLVD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553375714",
"telephone_number": "952-892-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E NICOLLET BLVD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553375714",
"telephone_number": "952-892-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "DEBORA",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1819753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.