Active NPI
Ryan Berry
- Certified Registered Nurse Anesthetist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1864
- Practice address
- 800 E 28TH St
Minneapolis, MN 55407-3723 - Phone
- (865) 342-8900
- Fax
- (865) 691-0843
- NPI assigned
- Dec 15, 2015
- Last updated
- Oct 31, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1864 | MN | Primary |
Addresses
Primary practice location
800 E 28TH St
Minneapolis, MN 55407-3723
Mailing address
8942 Knollwood Dr
Eden Prairie, MN 55347-1722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
701 N 1St St
Springfield, IL 62781-0001
Phone (217) 788-3755
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuyler County Hospital District | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Schuyler County Hospital District | Current | Accepting new patients | |
| Memorial Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- rberrycrna395380@carlehiedirect.net
Organizations & group practices 6
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 Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1255393112
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Rushville, IL
- NPI 1013969112
-
dba The Hearing Center at Memorial
- Audiologist
- Springfield, IL
- NPI 1679549968
-
dba Community Medical Clinic of Table Grove
- Rural Health Clinic/Center
- Table Grove, IL
- NPI 1194223719
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1609231877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8942 KNOLLWOOD DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471722"
},
{
"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": "865-342-8900",
"fax_number": "865-691-0843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-15",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "1864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 31, 2017; 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.