Active NPI
Dennis Harold Kneller, CRNA
- Certified Registered Nurse Anesthetist
- Winona, MN
National Provider Identifier
1669494506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R-95029-9
- Practice address
- 1610 49TH Ave
Winona, MN 55987-6137 - Phone
- (507) 313-9403
- NPI assigned
- Jul 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | R-95029-9 | MN | Primary |
Addresses
Primary practice location
1610 49TH Ave
Winona, MN 55987-6137
Mailing address
1610 49TH Ave
Winona, MN 55987-6137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43272300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-95029-9 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Anesthesia of Southwest Florida Inc | Past | Accepting new patients | |
| Anesthesia & Pain Consultants of SW FL | Past | Accepting new patients | |
| Southeastern Wisconsin Anesthesiology, S.C. | Past | Accepting new patients | |
| American Anesthesiology of Syracuse, PC | Past | Accepting new patients | |
| Anesthesia Associates of Wisconsin Rapids, S.C. | Past | Accepting new patients |
Organizations & group practices 5
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
- Syracuse, NY
- NPI 1790718591
-
- Specialist
- Fort Myers, FL
- NPI 1609843275
-
- Pain Medicine (Anesthesiology) Physician
- Wisconsin Rapids, WI
- NPI 1972550788
-
- Specialist
- Fort Myers, FL
- NPI 1518244383
-
- Anesthesiology Physician
- Burlington, WI
- NPI 1639125701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669494506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 49TH AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559876137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 49TH AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559876137",
"telephone_number": "507-313-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNELLER",
"first_name": "DENNIS",
"middle_name": "HAROLD",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R-95029-9",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43272300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.