Active NPI
Gregory Eddy, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA 1904
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Apr 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 7087 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA 1904 | MN | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Northwest Wisconsin Region Inc
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806
711 W Adams St
Black River Falls, WI 54615-5052
Phone (715) 284-5361
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7087 | WI | MD | Occupational Therapy Assistant |
| CRNA 1904 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166
775 N 8th St
Black River Falls, WI 54615
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302
1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100
1050 Division St
Mauston, WI 53948
Phone (608) 847-6161
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
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.
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- Critical Access Hospital
- Menomonie, WI
- NPI 1154372944
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
- Critical Access Hospital
- Bloomer, WI
- NPI 1700837812
-
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
-
- Certified Registered Nurse Anesthetist
- Mauston, WI
- NPI 1922145077
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Tomah, WI
- NPI 1184765240
-
- Critical Access Hospital
- Tomah, WI
- NPI 1992970453
-
- Rural Health Clinic/Center
- Whitehall, WI
- NPI 1417201864
-
- Medicare Defined Swing Bed Hospital Unit
- Black River Falls, WI
- NPI 1003914011
-
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
- Multi-Specialty Clinic/Center
- Osseo, WI
- NPI 1083140990
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1629027578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1407219959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "GREGORY",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "7087",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "CRNA 1904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.