Individual provider Active NPI

Tera Anne Wenzel, CRNA

  • Certified Registered Nurse Anesthetist
  • St. Cloud, MN
National Provider Identifier
1922324474
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R177181-7 Issued in MN
Practice address
3701 12TH St N #202
St. Cloud, MN 56303
Phone
(320) 258-3090
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 R177181-7 MN Primary

Addresses

Primary practice location

3701 12TH St N #202
St. Cloud, MN 56303

Mailing address

15330 42ND St NE
Foley, MN 56329-9214
Phone (320) 345-1776

Other names 1

  • Miss Tera Anne Cox Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twenzel107950@direct.centracare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708001062 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143352138 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Central Minnesota Anesthesia Providers, PAGroup PAC ID 7315848876, 11 clinicians

Practice addresses (Care Compare)

701 Dellwood St S
Cambridge, MN 55008-1920

911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313

Hospital & facility affiliations

  • Fairview Northland Regional Hospital Hospital, Princeton, MN, CCN 240141
  • Cambridge Medical Center Hospital, Cambridge, MN, CCN 240020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
700MNMDMental Health Counselor
R177181-7MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Feb 27, 2023 Accepting new patients
Anesthesiology, P.a. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2015 Accepting new patients
Allina Health System Current Accepting new patients
Centracare Health System-NR LLC CurrentSince Sep 1, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Centracare Health System-NR LLC CurrentSince Sep 1, 2022 Accepting new patients
Central Minnesota Anesthesia Providers, PA Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Mayo Clinic Past Accepting new patients
St. Cloud Orthopedic Associates, LTD. PastSince Jul 1, 2013 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14054 Bank St
Becker, MN 55308
Phone (763) 260-8808

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Ste 1900
Saint Cloud, MN 56303
Phone (320) 229-4964

Organizations & group practices 11

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 6

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1922324474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15330 42ND ST NE",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563299214",
            "telephone_number": "320-345-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 12TH ST N #202",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-258-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "TERA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R177181-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twenzel107950@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "twenzel107950@direct.centracare.com",
            "address_1": "3701 12th St N #202",
            "city": "St. Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERA",
            "last_name": "COX",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St. Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.