Individual provider Active NPI

Brandon Thiemann, CRNA

  • Certified Registered Nurse Anesthetist
  • Edina, MN
National Provider Identifier
1912267642
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R179024-1 Issued in MN
Practice address
6401 France Ave S
Edina, MN 55435-2104
Phone
(612) 672-6300
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R179024-1 MN Primary

Addresses

Primary practice location

6401 France Ave S
Edina, MN 55435-2104

Mailing address

10405 45TH Ave N Apt 126
Plymouth, MN 55442-3404
Phone (612) 718-1074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000323 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951554617 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Minnesota Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hutchinson HealthGroup PAC ID 0345330072, 145 clinicians

Practice addresses (Care Compare)

1095 Hwy 15 S
Hutchinson, MN 55350-5000
Phone (320) 234-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
82.49
Promoting interoperability
100
Improvement activities
40
Cost
69.77

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
89.75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R179024-1MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Anesthesia Care, Co. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Healthpartners RC CurrentSince May 28, 2024 Accepting new patients
County of Meeker Current Accepting new patients
County of Meeker CurrentSince May 8, 2023 Accepting new patients
County of Meeker CurrentSince May 8, 2023 Accepting new patients
Hutchinson Health Current Accepting new patients
Hutchinson Health Nurse Anesthetist, Certified Registered CurrentSince Sep 14, 2012 Accepting new patients
Healthpartners RC CurrentSince May 28, 2024 Accepting new patients

Locations

9801 DuPont Ave S
Ste 100
Bloomington, MN 55431

1455 Montreal St SE
Hutchinson, MN 55350
Phone (320) 587-6305

1095 Highway 15 S
Hutchinson, MN 55350
Phone (320) 234-5000

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

400 10th St E
Waconia, MN 55387

Interoperability endpoints

  • Direct secure messaging: brandon.thiemann.p4@direct.tcpain.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1912267642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 45TH AVE N APT 126",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554423404",
            "telephone_number": "612-718-1074"
        },
        {
            "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": "612-672-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEMANN",
        "first_name": "BRANDON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R179024-1",
            "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 May 29, 2012; 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.