Active NPI
Karen J Gruber, CRNA
- Certified Registered Nurse Anesthetist
- Lino Lakes, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0867434
- Practice address
- 1519 Broken Oak Court
Lino Lakes, MN 55038-9603 - Phone
- (651) 402-9328
- NPI assigned
- Sep 22, 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 | R0867434 | MN | Primary |
Addresses
Primary practice location
1519 Broken Oak Court
Lino Lakes, MN 55038-9603
Mailing address
1519 Broken Oak CT
Lino Lakes, MN 55038-9603
Phone (651) 402-9328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 457218100 | Medicaid | MN |
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, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8650 Hudson Blvd N
Suite 235
Lake Elmo, MN 55042-8480
Phone (651) 702-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0867434 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
8650 Hudson Blvd N
Ste 235
Lake Elmo, MN 55042
Phone (651) 203-4673
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
8100 W 78th St
Ste 220
Minneapolis, MN 55439
Phone (952) 914-8400
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2020 E 28th St
Ste 100
Minneapolis, MN 55407
Phone (612) 455-0612
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1679672661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 BROKEN OAK CT",
"city": "LINO LAKES",
"state": "MN",
"postal_code": "550389603",
"telephone_number": "651-402-9328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 BROKEN OAK COURT",
"city": "LINO LAKES",
"state": "MN",
"postal_code": "550389603",
"telephone_number": "651-402-9328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "KAREN",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R0867434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "457218100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lino Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.