Robert Gonzalez Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

195330-5 Issued in MN

Practice address

49725 County 83
Staples, MN 56479-5280

Phone

(218) 894-1515

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, ND, KS3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Perham Health Hospital, Perham, MN, CCN 241373
• Ortonville Area Health Services Hospital, Ortonville, MN, CCN 241342

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgonzalez296621@direct.centracare.com

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.

• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • Emergency Medicine Physician
  • Willmar, MN
  • NPI 1134632680

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lakewood Health System

  dba Lakewood Clinic Staples

  • Rural Health Clinic/Center
  • Staples, MN
  • NPI 1841280823
  Medicare reassignment NPD
• Ortonville Area Health Services

  • Critical Access Hospital
  • Ortonville, MN
  • NPI 1790783587
  Medicare reassignment NPD
• Perham Hospital District

  dba Perham Health

  • Critical Access Hospital
  • Perham, MN
  • NPI 1790799518
  Medicare reassignment NPD
• St. Francis Medical Center

  • Critical Access Hospital
  • Breckenridge, MN
  • NPI 1891954574
  Medicare reassignment NPD
• Unity Family Healthcare

  dba Little Falls Orthopedics

  • Orthopaedic Surgery Physician
  • Little Falls, MN
  • NPI 1326234006
  Medicare reassignment NPD
• Cavalier County Memorial Hospital Association

  dba Cavalier County Memorial Hospital & Clinics

  • Critical Access Hospital
  • Langdon, ND
  • NPI 1750328662
  Medicare reassignment
• County of Logan

  • Family Medicine Physician
  • Oakley, KS
  • NPI 1285629535
  Medicare reassignment
• County of Logan

  dba Logan County Hospital

  • Critical Access Hospital
  • Oakley, KS
  • NPI 1821087230
  Medicare reassignment
• Greeley County Health Services, Inc

  dba Wallace County Family Practice Clinic

  • Primary Care Clinic/Center
  • Sharon Springs, KS
  • NPI 1316010317
  Medicare reassignment
• Greeley County Health Services, Inc.

  dba Greeley County Hospital

  • Critical Access Hospital
  • Tribune, KS
  • NPI 1285742536
  Medicare reassignment
• Carris Health LLC

  • Durable Medical Equipment & Medical Supplies
  • Willmar, MN
  • NPI 1427684612
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ortonville Area Health Services

  • Critical Access Hospital
  • Ortonville, MN
  • NPI 1790783587
  Care Compare affiliation
• Perham Hospital District

  dba Perham Health

  • Family Medicine Physician
  • Perham, MN
  • NPI 1457631814

  Hospital

  Care Compare affiliation
• Perham Hospital District

  dba Perham Health

  • Critical Access Hospital
  • Perham, MN
  • NPI 1790799518
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1285003608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 KNOLLWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258373",
            "telephone_number": "915-422-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49725 COUNTY 83",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564795280",
            "telephone_number": "218-894-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "195330-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Joseph Gagnon, DDS
• Luann Annette Gammon, LICSW
• Shelby Ann Gawarecki
• Joseph James Gerhartz, DPT
• Micheal Ginder, MD
• Claire F Grunewald, PT, DPT
• John Peter Halfen, M.D.
• Sonja Anna Hall, M.S., ATC
• Alex K Harsha Bangura, M.D.
• Taylor Daine Heck, DPM

• Certified Registered Nurse Anesthetist in Staples, MN
• Providers in Staples, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.

Verify at the official NPI Registry.