Active NPI
Ana Burge, CRNA
- Certified Registered Nurse Anesthetist
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 111872
- Practice address
- 4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522 - Phone
- (763) 236-6000
- NPI assigned
- Oct 9, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R194858-5 | MN | |
| Registered Nurse | 163W00000X | 197620-30 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 111872 | MN | Primary |
Addresses
Primary practice location
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Mailing address
PO Box 47159
Plymouth, MN 55447-0159
Phone (763) 852-0435
Other names 1
- Ana Clare Johnson
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5000
Hospital & facility affiliations
- Centracare- Rice Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R194858-5 | MN | MD | Registered Nurse |
| 197620-30 | WI | MD | Registered Nurse |
| 111872 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Centracare Clinic Southwest LLC | Current | Accepting new patients |
Locations
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Interoperability endpoints
- aburge803502@direct.centracare.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1912664889
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willmar, MN
- NPI 1407367030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475971200000",
"number": "1801346374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47159",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554470159",
"telephone_number": "763-852-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 COON RAPIDS BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332522",
"telephone_number": "763-236-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGE",
"first_name": "ANA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-09",
"last_updated": "2016-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R194858-5",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "197620-30",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "111872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANA",
"last_name": "JOHNSON",
"middle_name": "CLARE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.