Individual provider Active NPI

Kristen Tweedy, CRNA

  • Certified Registered Nurse Anesthetist
  • Hancock, MI
National Provider Identifier
1891133559
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704336005 Issued in MI
Practice address
500 Campus Dr
Hancock, MI 49930-1452
Phone
(906) 483-1000
Fax
(906) 483-1270
NPI assigned
Jun 4, 2013
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 13627 WI
Certified Registered Nurse Anesthetist 367500000X COA14585 OH
Certified Registered Nurse Anesthetist 367500000X 4704336005 MI Primary

Addresses

Primary practice location

500 Campus Dr
Hancock, MI 49930-1452

Mailing address

500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1000

Other practice location 1

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1767

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171004003491 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759522568 Reassigns benefits to 11 organizations
I20240501000706 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759522568 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Medical Center IncGroup PAC ID 8022000447, 80 clinicians
Saginaw Anesthesia Services, PLLCGroup PAC ID 5890855019, 21 clinicians

Practice addresses (Care Compare)

1615 Maple LN
Ashland, WI 54806-3626
Phone (715) 682-5500

500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704336005MIMDCertified Registered Nurse Anesthetist
COA14585OHMDCertified Registered Nurse Anesthetist
13627WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Memorial Hospital Inc CurrentSince Nov 7, 2024 Accepting new patients
Hospitalist Medicine Physicians of Michigan-Alpena PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2021 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 7, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Upper Michigan Associates LLC CurrentSince May 1, 2021 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Saginaw Anesthesia Services, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Portage Hospital LLC CurrentSince Sep 1, 2017 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 7, 2024 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Nov 7, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 7, 2024 Accepting new patients
Memorial Medical Center Inc CurrentSince Mar 19, 2024 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jul 15, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 7, 2024 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Dec 27, 2022 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Dec 27, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 7, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 7, 2024 Accepting new patients
Portage Hospital LLC CurrentSince Sep 1, 2017 Accepting new patients
Memorial Medical Center Inc CurrentSince Mar 19, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 7, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 7, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

894 Campus Dr
Ste B
Hancock, MI 49930
Phone (906) 483-1128

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

1414 W Fair Ave
Ste 235
Marquette, MI 49855
Phone 9062732223103

601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1891133559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301452",
            "telephone_number": "906-483-1000",
            "fax_number": "906-483-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301452",
            "telephone_number": "906-483-1000",
            "fax_number": "906-483-1270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9576 Hwy 70",
            "address_purpose": "LOCATION",
            "city": "Minocqua",
            "state": "WI",
            "postal_code": "545489067",
            "country_code": "US",
            "telephone_number": "715-358-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWEEDY",
        "first_name": "KRISTEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "13627",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA14585",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704336005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9576 Hwy 70",
            "city": "Minocqua",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545489067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hancock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.