Active NPI
Ekaterina Vladimirovna McHenry, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 114702
- Practice address
- 400 E 3Rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951 - Phone
- (218) 786-8364
- NPI assigned
- Jan 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA2055 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 203970 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 114702 | MN | Primary |
Addresses
Primary practice location
400 E 3Rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951
Mailing address
400 E 3Rd St
Duluth Clinic
Duluth, MN 55805-1951
Phone (218) 786-8364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Duluth Clinic LTD
Practice addresses (Care Compare)
3500 Tower Ave
Superior, WI 54880-5335
Phone (715) 395-5454
400 1St Ave SW
Chisholm, MN 55719-2081
Phone (218) 254-3316
Hospital & facility affiliations
- Essentia Health St Mary'S Medical Center
- Essentia Health Duluth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114702 | MN | MD | Certified Registered Nurse Anesthetist |
| 203970 | MN | MD | Certified Registered Nurse Anesthetist |
| CRNA2055 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Anesthesia P.a | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Duluth Clinic, LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
400 E 3rd St
#2
Duluth, MN 55805
Phone (218) 786-8319
1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
Organizations & group practices 9
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
- Duluth, MN
- NPI 1922051291
Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
-
- Infectious Disease Physician
- Duluth, MN
- NPI 1811941511
-
- Anesthesiology Physician
- Duluth, MN
- NPI 1760417935
Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
- Anesthesiology Physician
- Superior, WI
- NPI 1285664995
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495756800000",
"number": "1396281978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"address_2": "DULUTH CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"address_2": "ESSENTIA HEALTH DULUTH CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHENRY",
"first_name": "EKATERINA",
"middle_name": "VLADIMIROVNA",
"credential": "APRN, CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2017-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "CRNA2055",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "203970",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "114702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.