Active NPI
Gregory John Mohrenweiser, CRNA
- Certified Registered Nurse Anesthetist
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0870803
- Practice address
- 13911 Ridgedale Dr
Suite 350
Minnetonka, MN 55305-1771 - Phone
- (952) 932-9012
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- 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 | R0870803 | MN | Primary |
Addresses
Primary practice location
13911 Ridgedale Dr
Suite 350
Minnetonka, MN 55305-1771
Mailing address
8489 State Highway 27
Onamia, MN 56359-7848
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, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Minnetonka, MN 55305
Phone (612) 810-4738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33750 | MN | MD | Internal Medicine Physician |
| R0870803 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Regional Anesthesia Services PA | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients |
Locations
111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511
10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157
417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157
13911 Ridgedale Dr
Ste 404B
Minnetonka, MN 55305
Phone (612) 636-0061
13911 Ridgedale Dr
Ste 350
Minnetonka, MN 55305
Phone (952) 932-0998
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
Organizations & group practices 4
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
- Minnetonka, MN
- NPI 1073621850
-
- Family Medicine Physician
- Brooten, MN
- NPI 1255348223
-
- Rural Health Clinic/Center
- Starbuck, MN
- NPI 1063952026
-
- Critical Access Hospital
- Glenwood, MN
- NPI 1538178520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386797512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8489 STATE HIGHWAY 27",
"city": "ONAMIA",
"state": "MN",
"postal_code": "563597848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13911 RIDGEDALE DR",
"address_2": "SUITE 350",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051771",
"telephone_number": "952-932-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHRENWEISER",
"first_name": "GREGORY",
"middle_name": "JOHN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R0870803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- 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.
- 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.