Active NPI
Angela Deblieck
- Certified Registered Nurse Anesthetist
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1737547
- Practice address
- 3701 12TH St N Ste 202
Saint Cloud, MN 56303-2253 - Phone
- (320) 258-3090
- NPI assigned
- Jul 11, 2017
- Last updated
- Jul 21, 2022
- 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 | R1737547 | MN | Primary |
Addresses
Primary practice location
3701 12TH St N Ste 202
Saint Cloud, MN 56303-2253
Mailing address
3701 12TH St N Ste 202
Saint Cloud, MN 56303-2253
Phone (320) 258-3090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 Catlin St
Buffalo, MN 55313-1947
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1737547 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakewood Health System | Current | Accepting new patients | |
| Central Minnesota Anesthesia Providers, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients |
Locations
14054 Bank St
Becker, MN 55308
Phone (763) 260-8808
9801 DuPont Ave S
Ste 100
Bloomington, MN 55431
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
11855 Ulysses St NE
Minneapolis, MN 55434
Phone (763) 420-1010
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1526 Northway Dr
Saint Cloud, MN 56303
Phone (320) 251-8385
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
49725 County 83
Staples, MN 56479
Phone (218) 894-1033
400 10th St E
Waconia, MN 55387
Interoperability endpoints
- adeblieck378030@direct.centracare.com
Organizations & group practices 13
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.
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba CentraCare - River Campus Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1043212665
-
- Certified Registered Nurse Anesthetist
- Becker, MN
- NPI 1881689974
Nurse Anesthetist, Certified Registered
-
dba Certified Anesthesia Care, Inc
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
dba Lakewood Clinic Staples
- Rural Health Clinic/Center
- Staples, MN
- NPI 1841280823
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Saint Cloud, MN
- NPI 1124084843
-
dba Buffalo Hospital CRNA
- Certified Registered Nurse Anesthetist
- Buffalo, MN
- NPI 1649211756
Nurse Anesthetist, Certified Registered
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba CentraCare Occupations Health
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
- Critical Access Hospital
- Staples, MN
- NPI 1124019054
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1598287641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 12TH ST N STE 202",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032253",
"telephone_number": "320-258-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 12TH ST N STE 202",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032253",
"telephone_number": "320-258-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBLIECK",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1737547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.