Active NPI
Teresa M Koelzer, CRNA
- Certified Registered Nurse Anesthetist
- Grand Rapids, MI
National Provider Identifier
1679536718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704141580
- Practice address
- 1919 Boston St SE
Metro Health - Hospital
Grand Rapids, MI 49506-4160 - Phone
- (616) 808-3944
- Fax
- (616) 808-3948
- NPI assigned
- Apr 10, 2006
- 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 | 4704141580 | MI | Primary |
Addresses
Primary practice location
1919 Boston St SE
Metro Health - Hospital
Grand Rapids, MI 49506-4160
Mailing address
400 Ann St NW
Suite 209
Grand Rapids, MI 49504-2052
Phone (616) 808-3944
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Metropolitan Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Advantage Health Physicians PC | Past | Accepting new patients | |
| Central Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| West Coast Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Pine Rest Christian Mental Health Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1386695252
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1497796338
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1215906219
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Grand Rapids, MI
- NPI 1750500526
Nurse Anesthetist, Certified Registered
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
-
- Anesthesiology Physician
- Muskegon, MI
- NPI 1780603944
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1679536718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 ANN ST NW",
"address_2": "SUITE 209",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495042052",
"telephone_number": "616-808-3944",
"fax_number": "616-808-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 BOSTON ST SE",
"address_2": "METRO HEALTH - HOSPITAL",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064160",
"telephone_number": "616-808-3944",
"fax_number": "616-808-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOELZER",
"first_name": "TERESA",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704141580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.