Active NPI
Brian Alexander Kawecki, CRNA
- Certified Registered Nurse Anesthetist
- Fairmont, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1002
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031-4575 - Phone
- (180) 023-4614
- NPI assigned
- Sep 15, 2009
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | R 147531-7 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 1002 | MN | Primary |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031-4575
Mailing address
1025 Marsh St
Mankato, MN 56001-4752
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkawecki87716@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100118000168 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6608918479 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southeast Minnesota RegionMayo Clinic Health System-Southwest Minnesota Region
Practice addresses (Care Compare)
1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
Hospital & facility affiliations
- Mayo Clinic Health System - Mankato
- Mayo Clinic Health System - Albert Lea and Austin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 147531-7 | MN | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Fairmont | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-St James | Current | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
Organizations & group practices 19
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.
-
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
MN
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
MN
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
MN
-
- Clinic Pharmacy
- Cannon Falls, MN
- NPI 1699597468
-
- Critical Access Hospital
- Cannon Falls, MN
- NPI 1063435410
-
- Multi-Specialty Clinic/Center
- Red Wing, MN
- NPI 1114453883
-
- General Acute Care Hospital
- Red Wing, MN
- NPI 1164400024
-
- Durable Medical Equipment & Medical Supplies
- Austin, MN
- NPI 1265462279
-
- General Acute Care Hospital
- Albert Lea, MN
- NPI 1346258100
-
- Medicare Defined Swing Bed Hospital Unit
- Cannon Falls, MN
- NPI 1790791077
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albert Lea, MN
- NPI 1346258100
Hospital
-
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1497088967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "180-023-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWECKI",
"first_name": "BRIAN",
"middle_name": "ALEXANDER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-15",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MN",
"license": "R 147531-7",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "1002",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkawecki87716@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "800 Medical Center Dr",
"city": "Fairmont",
"state": "MN",
"country_code": "US",
"postal_code": "560314575",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairmont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.