Mary Ruegemer, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R056725-5 Issued in MN

Practice address

2855 Campus Dr
Plymouth, MN 55441-2649

Phone

(763) 577-7179

Fax

(763) 577-7130

NPI assigned

Jul 13, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Westhealth Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Plymouth, MN
  • NPI 1598165664
  NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295750982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13855 HOLLY RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412649",
            "telephone_number": "763-577-7179",
            "fax_number": "763-577-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEGEMER",
        "first_name": "MARY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R056725-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn M Roseman, PA-C
• Jesse Rossow, O.D.
• John M Rozman, FNP
• Theodore R. Rubbo
• Shoshana Rubin, OT
• Leah Ruhland, OD
• Brent Donald Rundquist, D.D.S. M.S.
• Nancy J Runyon
• Abigail Ailene Marie Ryden
• S&E Staffing

• Certified Registered Nurse Anesthetist in Plymouth, MN
• Providers in Plymouth, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.