Active NPI
Russell Alan Hauge, CRNA
- Certified Registered Nurse Anesthetist
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA0267
- Practice address
- 600 East Blvd
Elkhart, IN 46514-2483 - Phone
- (574) 524-8130
- Fax
- (574) 524-8138
- NPI assigned
- Apr 5, 2006
- Last updated
- Apr 8, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 120711-6 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 4677 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 28195266A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA0267 | AZ | Primary |
Addresses
Primary practice location
600 East Blvd
Elkhart, IN 46514-2483
Mailing address
4864 Crown LN
Woodbury, MN 55129-8900
Phone (651) 459-8513
Other practice location 1
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000
Other practice location 2
4864 Crown Ln
Woodbury, MN 55129-8900
Phone (651) 459-8513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201026230 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TN, NV
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1509 | MN | MD | Acupuncturist |
| CRNA0267 | AZ | MD | Certified Registered Nurse Anesthetist |
| 120711-6 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carson Tahoe Physician Hospital Organization, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients | |
| Hoosier Anesthesia Associates PC | Past | Accepting new patients | |
| Premier Anesthesia of Indiana PC | Past | Accepting new patients |
Locations
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Organizations & group practices 7
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
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Carson City, NV
- NPI 1063169829
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lawrenceburg, IN
- NPI 1720099153
-
- Anesthesiology Physician
- Danville, IN
- NPI 1982908737
-
dba Chi St Francis Health
- Rural Health Clinic/Center
- Milnor, ND
- NPI 1235215252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1619939501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4864 CROWN LN",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551298900",
"telephone_number": "651-459-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST BLVD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142483",
"telephone_number": "574-524-8130",
"fax_number": "574-524-8138"
}
],
"practiceLocations": [
{
"address_1": "350 W Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850134409",
"country_code": "US",
"telephone_number": "602-406-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4864 Crown Ln",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551298900",
"country_code": "US",
"telephone_number": "651-459-8513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUGE",
"first_name": "RUSSELL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "120711-6",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "4677",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28195266A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "CRNA0267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201026230",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.