Eileen M Channel, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R 148885-4 Issued in MN

Practice address

323 S Minnesota St
Crookston, MN 56716-1601

Phone

(218) 281-9200

Fax

(218) 281-9224

NPI assigned

Oct 31, 2006

Last updated

Feb 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, ND, AZ, OR4 enrollments

Enrollment records 4

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians

Sanford Health Network NorthGroup PAC ID 8022206663, 114 clinicians

Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanford Health Network North

  dba Sanford Health Southeast Campus

  • Multi-Specialty Clinic/Center
  • Thief River Falls, MN
  • NPI 1386047355
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates Northwest LLC

  • Anesthesiology Physician
  • Milwaukie, OR
  • NPI 1548281751
  Medicare reassignment Care Compare group NPD
• Banner - University Hospital Based Physicians LLC

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1750751566
  Medicare reassignment Care Compare group NPD
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment NPD
• Sanford Health of Northern Minnesota

  dba Sanford Health Kelliher Clinic

  • Family Medicine Physician
  • Kelliher, MN
  • NPI 1770849697
  Medicare reassignment NPD
• Coronado Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1336569581

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Dec Anesthesia LLC

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1093006520
  Medicare reassignment NPD
• Grand Forks Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Grand Forks, ND
  • NPI 1447727946

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Arizona - Nogales

  • Certified Registered Nurse Anesthetist
  • Tucson, AZ
  • NPI 1487251799

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sanford Health Network North

  dba Sanford Thief River Falls Medical Center

  • Critical Access Hospital
  • Thief River Falls, MN
  • NPI 1043218753
  Medicare reassignment
• Avera Marshall

  dba Avera Medical Group Medical Oncology Marshall

  • Oncology Clinic/Center
  • Marshall, MN
  • NPI 1437551785
  NPD
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1497831580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "218-281-9200",
            "fax_number": "218-281-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "218-281-9200",
            "fax_number": "218-281-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNEL",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R 148885-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R 148885-4",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanon Erin Caillier, CNP
• Calming Waters Therapy PLLC
• Angela Marie Carlson, LICSW
• Jeanette Diane Carlson
• Mary Lou Carlson
• Brynn Lara Charlesworth, M.D.
• Ioan John Chitu I
• Choice Therapy Crookston LLC
• Brittany Marie Christ
• Brittany Kaye Clark

• Certified Registered Nurse Anesthetist in Crookston, MN
• Providers in Crookston, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.

Verify at the official NPI Registry.