Active NPI
Charles William Beinborn, CRNA
- Certified Registered Nurse Anesthetist
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R 174994-6
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Mar 9, 2011
- 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 | R 174994-6 | 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
Other practice location 1
1 Medical Center Dr
Galena, IL 61036-8118
Phone (815) 777-1340
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | midwestmedical@midwestmedicalcenter.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WI, IL
Enrollment records 3
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)
205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-4112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 174994-6 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Medical Center | Current | Accepting new patients | |
| Grandview Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Medical Center-Dyersville | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Assoc Inc | Current | Accepting new patients | |
| Memorial Hospital of Boscobel | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| Palmer Lutheran Health Center, Inc. | Current | Accepting new patients | |
| Memorial Hospital of Boscobel | Current | Accepting new patients | |
| Jackson County Public Hospital | Past | Accepting new patients |
Locations
350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881
1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000
Interoperability endpoints
- midwestmedical@midwestmedicalcenter.cernerdirect.com
Organizations & group practices 10
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
- Boscobel, WI
- NPI 1760459846
-
- Certified Registered Nurse Anesthetist
- Dubuque, IA
- NPI 1407458367
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Dyersville, IA
- NPI 1205816725
-
- Critical Access Hospital
- Galena, IL
- NPI 1952409765
-
- Critical Access Hospital
- West Union, IA
- NPI 1598765398
-
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
- Medicare Defined Swing Bed Hospital Unit
- Boscobel, WI
- NPI 1497712624
-
- Rural Health Clinic/Center
- Elizabeth, IL
- NPI 1295286045
-
- Family Medicine Physician
- Prairie Du Chien, WI
- NPI 1659709830
-
- Critical Access Hospital
- Maquoketa, IA
- NPI 1912960758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1447558838",
"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": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Galena",
"state": "IL",
"postal_code": "610368118",
"country_code": "US",
"telephone_number": "815-777-1340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEINBORN",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-09",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 174994-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "midwestmedical@midwestmedicalcenter.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Midwest Medical Center Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1 Medical Center Dr",
"city": "Galena",
"state": "IL",
"country_code": "US",
"postal_code": "610368118",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 14, 2020; 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.