Active NPI
Tyler William Freiborg, CRNA
- Registered Nurse
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1912090
- Practice address
- 6401 France Ave S
Edina, MN 55435-2104 - Phone
- (952) 924-5000
- NPI assigned
- Sep 21, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1912090 | MN | Primary |
Addresses
Primary practice location
6401 France Ave S
Edina, MN 55435-2104
Mailing address
6020 Oakland Ave
Minneapolis, MN 55417-3118
Phone (651) 231-9268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-7564
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1912090 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenwood Anesthesia Professionals, PC | Current | Accepting new patients | |
| University Anesthesia Providers, LLC | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Current | Accepting new patients | |
| Park Nicollet Methodist Hospital | Current | Accepting new patients | |
| Park Nicollet Methodist Hospital | Current | Accepting new patients |
Locations
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Glenwood Springs, CO
- NPI 1013335389
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
-
dba Park Nicollet Methodist Hospital CRNAs
- Certified Registered Nurse Anesthetist
- St Louis Park, MN
- NPI 1083622047
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
-
dba Park Nicollet Same Day Surgery Center
- Ambulatory Surgical Clinic/Center
- Burnsville, MN
- NPI 1649827973
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley View Surgery Center at Basalt
- Ambulatory Surgical Clinic/Center
- Basalt, CO
- NPI 1649885849
Hospital
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1760098156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 OAKLAND AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554173118",
"telephone_number": "651-231-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554352104",
"telephone_number": "952-924-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIBORG",
"first_name": "TYLER",
"middle_name": "WILLIAM",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "1912090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.