Individual provider Active NPI

Rebecca Konen, CRNA

  • Certified Registered Nurse Anesthetist
  • Minneapolis, MN
National Provider Identifier
1386949337
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA1784 Issued in MN
Practice address
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone
(612) 273-2629
NPI assigned
Jan 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA1784 MN Primary

Addresses

Primary practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Mailing address

5620 Kotten TRL
Brainerd, MN 56401-7313
Phone (218) 232-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110323000127 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870776289 Reassigns benefits to 2 organizations
I20151026000413 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870776289 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121

3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2253
Phone (320) 258-3090

Hospital & facility affiliations

  • Riverwood Healthcare Center Hospital, Aitkin, MN, CCN 241305
  • Centracare - St. Cloud Hospital Hospital, Saint Cloud, MN, CCN 240036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CRNA1784MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Bethesda Hospital CurrentSince May 3, 2020 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince May 15, 2023 Accepting new patients
Centracare Clinic CurrentSince Apr 1, 2023 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince May 3, 2020 Accepting new patients
Metropolitan Anesthesia Network, LLP Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Healtheast St. John'S Hospital CurrentSince May 3, 2020 Accepting new patients
Centracare Clinic Current Accepting new patients
Centracare Clinic CurrentSince Apr 1, 2023 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Apr 1, 2023 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Apr 1, 2023 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Care System CurrentSince May 3, 2020 Accepting new patients
Healtheast Medical Research Insititue CurrentSince Apr 3, 2020 Accepting new patients
University Anesthesia Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2016 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince May 15, 2023 Accepting new patients
Healtheast Medical Research Institute CurrentSince Apr 3, 2020 Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: rkonen681782@direct.centracare.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1386949337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 KOTTEN TRL",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564017313",
            "telephone_number": "218-232-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HARVARD ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550363",
            "telephone_number": "612-273-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONEN",
        "first_name": "REBECCA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "CRNA1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.