Individual provider Active NPI

Tris Jacqueline Wheeler, CRNA

  • Certified Registered Nurse Anesthetist
  • Minneapolis, MN
National Provider Identifier
1578754065
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R144572-9 Issued in MN
Practice address
800 E 28TH St
Minneapolis, MN 55407-3723
Phone
(612) 871-7639
Fax
(612) 872-0302
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R144572-9 MN Primary

Addresses

Primary practice location

800 E 28TH St
Minneapolis, MN 55407-3723

Mailing address

2545 Chicago Ave
Suite 311
Minneapolis, MN 55404-4522

Other identifiers 1

IdentifierTypeStateIssuer
R144572-9OtherMNMN RN LICENSE

Other names 1

  • Tris Jacqueline Curtis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000299 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779656475 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

43309 US Hwy 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R144572-9MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Cataract & Laser Institute Nurse Anesthetist, Certified Registered CurrentSince Jul 29, 2020 Accepting new patients
St. Lukes Surgical at the Villages, Inc CurrentSince Jun 1, 2023 Accepting new patients
David W Nussear MD LLC CurrentSince Dec 3, 2012 Accepting new patients
St . Lukes at the Villages, PA Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Feinerman Anesthesia PA CurrentSince Jan 1, 2018 Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Aug 11, 2012 Accepting new patients
Orange City Anesthesia Services LLC CurrentSince Oct 7, 2012 Accepting new patients
Anesthesia Associates of Pinellas County Past Accepting new patients
Clearwater Pain Management Associates Past Accepting new patients
Advanced Anesthesia Specialist PLLC PastSince Aug 26, 2010 Accepting new patients

Locations

401 Corbett St
Ste 220
Belleair, FL 33756
Phone (727) 388-7326

402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020

1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tris.wheeler.p3@direct.stlukeseye.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1578754065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVE",
            "address_2": "SUITE 311",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073723",
            "telephone_number": "612-871-7639",
            "fax_number": "612-872-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "TRIS",
        "middle_name": "JACQUELINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R144572-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN RN LICENSE",
            "identifier": "R144572-9",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRIS",
            "last_name": "CURTIS",
            "middle_name": "JACQUELINE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.