Individual provider Active NPI

Ross Tegeler, CRNA

  • Certified Registered Nurse Anesthetist
  • Norfolk, NE
National Provider Identifier
1710305065
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101255 Issued in NE
Practice address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone
(402) 371-4880
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 101255 NE Primary

Addresses

Primary practice location

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Mailing address

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140722002596 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648496943 Reassigns benefits to 2 organizations
I20190917002965 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648496943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Yankton Medical Clinic PC Current Accepting new patients
Siouxland Anesthesiology, LTD Nurse Anesthetist, Certified Registered CurrentSince May 28, 2018 Accepting new patients
Surgicenter of Norfolk, LLC CurrentSince Mar 1, 2024 Accepting new patients
Yankton Medical Clinic PC CurrentSince Mar 11, 2019 Accepting new patients
Yankton Medical Clinic PC CurrentSince Mar 11, 2019 Accepting new patients
Yankton Medical Clinic PC Current Accepting new patients

Locations

3901 W Norfolk Ave
Ste K
Norfolk, NE 68701
Phone (402) 316-4027

3400 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 379-5555

3901 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 379-5555

3901 W Norfolk Ave
Ste L
Norfolk, NE 68701
Phone (402) 379-5555

201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160

101 Tower Rd
Ste 201
North Sioux City, SD 57049
Phone (605) 232-3332

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

1104 W 8th St
Yankton, SD 57078
Phone (605) 665-7841

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1710305065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-371-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGELER",
        "first_name": "ROSS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.

Verify at the official NPI Registry.