Active NPI
Annette J Combo, CRNA
- Certified Registered Nurse Anesthetist
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1122055
- Practice address
- 8990 Springbrook Dr NW
Suite 250
Coon Rapids, MN 55433-5850 - Phone
- (763) 398-1162
- Fax
- (763) 398-0124
- NPI assigned
- Aug 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1122055 | MN | Primary |
Addresses
Primary practice location
8990 Springbrook Dr NW
Suite 250
Coon Rapids, MN 55433-5850
Mailing address
16913 80TH PL N
Maple Grove, MN 55311-1796
Phone (763) 398-0099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07A16CO | Other | MN | BCBSMN |
| 248024700 | Medicaid | MN |
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14500 99TH Ave N
Maple Grove, MN 55369-4730
Phone (763) 898-1000
3001 Broadway St NE
Suite 500
Minneapolis, MN 55413-2197
Phone (612) 871-1145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1122055 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mngi Digestive Health, P.a. | Current | Accepting new patients | |
| Central Minnesota Anesthesia Providers, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regions Hospital | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients |
Locations
14054 Bank St
Becker, MN 55308
Phone (763) 260-8808
5705 W Old Shakopee Rd
Ste 150
Bloomington, MN 55437
Phone (612) 870-5530
9145 Springbrook Dr NW
Ste 200
Coon Rapids, MN 55433
Phone (612) 625-8999
14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
3001 Broadway St NE
Ste 500
Minneapolis, MN 55413
Phone (612) 870-5557
2855 Campus Dr
Plymouth, MN 55441
Phone (763) 577-7000
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
15700 37th Ave N
Ste 300
Plymouth, MN 55446
Phone (612) 870-5555
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
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.
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Becker, MN
- NPI 1881689974
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
-
- Rehabilitation Clinic/Center
- Saint Paul, MN
- NPI 1134157092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1477554970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16913 80TH PL N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553111796",
"telephone_number": "763-398-0099",
"fax_number": "763-398-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8990 SPRINGBROOK DR NW",
"address_2": "SUITE 250",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335850",
"telephone_number": "763-398-1162",
"fax_number": "763-398-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBO",
"first_name": "ANNETTE",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1122055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN",
"identifier": "07A16CO",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "248024700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.