Active NPI
Robert M Woods
- Certified Registered Nurse Anesthetist
- Mora, MN
National Provider Identifier
1487761789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1286959
- Practice address
- 301 Highway 65 S
Mora, MN 55051-1899 - Phone
- (320) 225-3335
- Fax
- (320) 225-3345
- NPI assigned
- Aug 23, 2006
- 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 | R1286959 | MN | Primary |
Addresses
Primary practice location
301 Highway 65 S
Mora, MN 55051-1899
Mailing address
301 Highway 65 S
Mora, MN 55051-1899
Phone (320) 225-3335
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP52882 | Other | MN | HEALTH PARTNERS PROVIDER |
| P00269367 | Other | MN | MEDICARE RAIL ROAD |
| 60124KA | Other | MN | BC PROVIDER NUMBER |
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Hwy 65 S
Mora, MN 55051-1899
Phone (320) 679-1212
Hospital & facility affiliations
- Welia Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1286959 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welia Health | Current | Accepting new patients | |
| Welia Health | Current | Accepting new patients | |
| Physician Groups LC | Past | Accepting new patients |
Locations
301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317
Organizations & group practices 5
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
- Mora, MN
- NPI 1528031390
-
- Critical Access Hospital
- Hayward, WI
- NPI 1912992827
-
- Critical Access Hospital Clinic/Center
- Mora, MN
- NPI 1972811362
-
- Rural Health Clinic/Center
- Pine City, MN
- NPI 1992012207
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mora, MN
- NPI 1528031390
-
- Critical Access Hospital Clinic/Center
- Mora, MN
- NPI 1972811362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487761789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HIGHWAY 65 S",
"city": "MORA",
"state": "MN",
"postal_code": "550511899",
"telephone_number": "320-225-3335",
"fax_number": "320-225-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HIGHWAY 65 S",
"city": "MORA",
"state": "MN",
"postal_code": "550511899",
"telephone_number": "320-225-3335",
"fax_number": "320-225-3345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1286959",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS PROVIDER",
"identifier": "HP52882",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P00269367",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PROVIDER NUMBER",
"identifier": "60124KA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mora, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.