Active NPI
Shantel N Kruse, CRNA
- Certified Registered Nurse Anesthetist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101119
- Practice address
- 16901 Lakeside Hills CT
Omaha, NE 68130-2318 - Phone
- (402) 717-8000
- NPI assigned
- Apr 16, 2010
- 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 | 101119 | NE | Primary |
Addresses
Primary practice location
16901 Lakeside Hills CT
Omaha, NE 68130-2318
Mailing address
16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-4866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7500 S 91St St
CHI Health Nebraska Heart Inst.
Lincoln, NE 68526-9437
Phone (402) 489-6555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Unmc Physicians | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Past | Accepting new patients | |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
7500 S 91st St
Lincoln, NE 68526
Phone (402) 327-2700
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
6901 N 72nd St
Ste 22330
Omaha, NE 68122
Phone (402) 717-4673
7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1356858419
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Anesthesiology Physician
- Council Bluffs, IA
- NPI 1639687114
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health Lakeside
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1528384435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16901 LAKESIDE HILLS CT",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302318",
"telephone_number": "402-717-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16901 LAKESIDE HILLS CT",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302318",
"telephone_number": "402-717-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "SHANTEL",
"middle_name": "N",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-16",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.