Randy Dean Cornelius, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Manchester, IA
NPI 1831353051 · NPPES record last updated Oct 3, 2013
Key facts
- NPI
- 1831353051
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- D107246 (IA)
- Practice address
- 709 W Main St
Manchester, IA 52057-1526 - Phone
- (563) 927-7356
- NPI assigned
- Jul 16, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Iowa Mercy Clinics
Marengo Memorial Hospital
Grandview Anesthesia PC
Practice addresses (Care Compare)
1000 4TH St SW
Mason City, IA 50401-2800
300 W May St
Marengo, IA 52301-1261
Phone 31964255438068
350 N Grandview Ave
Unity Point Health Finley Hospital
Dubuque, IA 52001-6388
Phone (563) 582-1881
Hospital & facility affiliations
- Compass Memorial Healthcare
- Mercyone North Iowa Medical Center
- Finley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090702000340 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3173674140 | Reassigns benefits to 13 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D107246 | IA | MD | Certified Registered Nurse Anesthetist |
| 107246 | IA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Memorial Hospital | Current |
Accepting new patients | |
| Grandview Anesthesia PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| North Iowa Mercy Clinics | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Medical Associates Clinic P C | Current |
Accepting new patients | |
| Mason City Ambulatory Surgery Center, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Waverly Health Center | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Iowa PLC | Current |
Accepting new patients | |
| Mercy Clinton Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Waverly Health Center | Current |
Accepting new patients | |
| Grundy County Memorial Hospital | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current |
Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current |
Accepting new patients | |
| Grundy County Memorial Hospital | Current |
Accepting new patients | |
| Delaware County Memorial Hospital | Current |
Accepting new patients | |
| Grundy County Memorial Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Mason City Ambulatory Surgery Center, LLC | Past | Accepting new patients | |
| Des Moines Anesthesiologists PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881
1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455
1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081
1600 1st St E
Independence, IA 50644
Phone (319) 332-0999
709 W Main St
Manchester, IA 52057
Phone (563) 927-3232
300 W May St
Marengo, IA 52301
Phone (319) 462-8011
300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543
1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704
990 4th St SW
Mason City, IA 50401
Phone (641) 494-2000
404 Jefferson St
Pella, IA 50219
Phone (641) 628-3150
502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
1731 W Ridgeway Ave
Ste 300
Waterloo, IA 50701
Phone (319) 833-5800
1731 W Ridgeway Ave
Ste 300B
Waterloo, IA 50701
Phone (319) 235-5386
312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120
400 10th St E
Waconia, MN 55387
Interoperability endpoints
- rcornelius85235@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 107246 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | D107246 | IA | Yes |
Addresses
Primary practice location
709 W Main St
Manchester, IA 52057-1526
Mailing address
709 W Main St
Manchester, IA 52057-1526
Phone (563) 927-7356
Other providers in Manchester, IA
- Sarah Cisco
- James Oliver Cody
- Timothy A Collier
- Brooke Marie Cooney
- Timothy Dale Cooper
- Clinton Thomas Cummings
- Delaware County Community Life
- Delaware County Community Services
- Delaware County Memorial Hospital
- Delaware County Memorial Hospital
All providers in Manchester, IA · Certified Registered Nurse Anesthetist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.