Active NPI
Heather Rae Ross-Chalupnik, CRNA
- Certified Registered Nurse Anesthetist
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 88993
- Practice address
- 6500 Excelsior Blvd
St Louis Park, MN 55426-4702 - Phone
- (952) 993-5222
- NPI assigned
- Dec 26, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 156745-8 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 88993 | MN | Primary |
Addresses
Primary practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11855 Ulysses St NE
Blaine, MN 55434-7345
Phone (763) 755-6540
3001 Broadway St NE
Suite 500
Minneapolis, MN 55413-2197
Phone (612) 871-1145
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 79.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 156745-8 | MN | MD | Registered Nurse |
| 88993 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Methodist Hospital | Current | Accepting new patients | |
| Allina Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Park Nicollet Methodist Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Mngi Digestive Health, P.a. | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients |
Locations
11855 Ulysses St NE
Ste 270
Blaine, MN 55434
Phone (763) 755-6540
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
9145 Springbrook Dr NW
Ste 200
Coon Rapids, MN 55433
Phone (612) 625-8999
3001 Broadway St NE
Ste 500
Minneapolis, MN 55413
Phone (612) 870-5557
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
11855 Ulysses St NE
Minneapolis, MN 55434
Phone (763) 420-1010
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Park Nicollet Methodist Hospital CRNAs
- Certified Registered Nurse Anesthetist
- St Louis Park, MN
- NPI 1083622047
Nurse Anesthetist, Certified Registered
-
dba Cambridge Medical Center CRNA
- Certified Registered Nurse Anesthetist
- Cambridge, MN
- NPI 1922402718
Nurse Anesthetist, Certified Registered
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba Park Nicollet Same Day Surgery Center
- Ambulatory Surgical Clinic/Center
- Burnsville, MN
- NPI 1649827973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1427327121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS-CHALUPNIK",
"first_name": "HEATHER",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-26",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 156745-8",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "88993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.