Individual provider Active NPI

Terrance L Kuper, CRNA

  • Certified Registered Nurse Anesthetist
  • Bedford, IN
National Provider Identifier
1851387658
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28188242A Issued in IN
Practice address
2900 16TH St
Bedford, IN 47421-3510
Phone
(812) 275-1200
Fax
(812) 275-1212
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN 10310 TN
Certified Registered Nurse Anesthetist 367500000X 28188242A IN Primary

Addresses

Primary practice location

2900 16TH St
Bedford, IN 47421-3510

Mailing address

2900 16TH St
Bedford, IN 47421-3510
Phone (812) 275-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10310TNMDDentist
28188242AINMDCertified Registered Nurse Anesthetist
APN 10310TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, SC CurrentSince Dec 6, 2020 Accepting new patients
Professional Anesthesia Associates Past Accepting new patients
Digestive Care of Evansville PC PastSince Jun 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Marion Surgery Center LTD Past Accepting new patients
Lakeland Radiologists LTD Past Accepting new patients
Laser Spine Institute, LLC Past Accepting new patients
Jackson Clinic PA PastSince Jan 3, 1995 Accepting new patients
Anesthesia Healthcare Partners of Tennessee PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Dyersburg Hospital Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Lake County Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Cardiac Anesthesia Group PastSince Jun 1, 2001 Accepting new patients
Unicom Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
West Tennessee Anesthesia, PC Nurse Anesthetist, Certified Registered PastSince Apr 4, 2011 Accepting new patients
Amsol Anesthetists of Illinois, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
David J Samuels MD PA Past Accepting new patients

Locations

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1851387658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510",
            "telephone_number": "812-275-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510",
            "telephone_number": "812-275-1200",
            "fax_number": "812-275-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPER",
        "first_name": "TERRANCE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN 10310",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28188242A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.