Monica Joy Mortenson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

078542 Issued in MN

Practice address

11715 Jewel CT NE
Blaine, MN 55449-5876

Phone

(763) 767-1843

NPI assigned

Apr 1, 2008

Last updated

Apr 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gillette Childrens Specialty HealthcareGroup PAC ID 0547169211, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gillette Childrens Specialty Hospital Hospital, Saint Paul, MN, CCN 243300

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gillette Children's Specialty Healthcare

  dba Gillette Children's Professional Services

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1225119175
  Medicare reassignment Care Compare group NPD
• Gillette Children's Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Saint Cloud, MN
  • NPI 1982090528
  NPD
• Gillette Children's Specialty Healthcare

  dba Gillette Children's Specialty Healthcare Pharmacy

  • Institutional Pharmacy
  • Saint Paul, MN
  • NPI 1386758373
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gillette Children's Specialty Healthcare

  • Customized Equipment (DME)
  • Mankato, MN
  • NPI 1295145902

  Hospital

  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  • Children's Hospital
  • Saint Paul, MN
  • NPI 1447352836
  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1477612604

  Hospital

  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Maple Grove, MN
  • NPI 1730363698

  Hospital

  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  dba Gillette Children's Healthcare-Burnsville

  • Multi-Specialty Clinic/Center
  • Burnsville, MN
  • NPI 1740349042

  Hospital

  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  dba Gillette Children's Heathcare St Paul

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1851450894

  Hospital

  Care Compare affiliation
• Gillette Childrens Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1760541700

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1750553699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 JEWEL CT NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495876",
            "telephone_number": "763-767-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 JEWEL CT NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495876",
            "telephone_number": "763-767-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "MONICA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "078542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morningstar Care Services,LLC.
• Cecelia Morris
• Shawna L Morris
• Anna Caroline Morrison, OTR/L
• Heidi Lynn Mortenson, MA, LMFT
• Motion Rehab Physical Therapy LLC (Motion Rehab Physical Therapy)
• Mohamed Ahmed Muhumed
• Enid Lwiindi Mumba
• Murphy Bros Building & Remodeling
• Angela M Musland, O.D.

• Certified Registered Nurse Anesthetist in Blaine, MN
• Providers in Blaine, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.

Verify at the official NPI Registry.