Active NPI
Brandon Thiemann, CRNA
- Certified Registered Nurse Anesthetist
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R179024-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 82.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.77
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.26 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R179024-1 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthpartners RC | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| Hutchinson Health | Current | Accepting new patients | |
| Hutchinson Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthpartners RC | Current | 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
- 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.
-
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
-
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Litchfield, MN
- NPI 1083221816
-
- Critical Access Hospital
- Litchfield, MN
- NPI 1598860215
-
- Critical Access Hospital
- Olivia, MN
- NPI 1629091871
-
- Critical Access Hospital Clinic/Center
- Olivia, MN
- NPI 1649470782
-
- Rural Health Clinic/Center
- Dassel, MN
- NPI 1952555146
-
- Certified Registered Nurse Anesthetist
- Hutchinson, MN
- NPI 1841489606
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
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.