Tera L Bredeson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Litchfield, MN
NPI 1922567668 · NPPES record last updated Mar 12, 2019
Key facts
- NPI
- 1922567668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2332 (MN)
- Practice address
- 612 S Sibley Ave
Litchfield, MN 55355-3340 - Phone
- (320) 693-4500
- NPI assigned
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.1 of 100
- Quality
- 91.46
- Promoting interoperability
- 86
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190411000079 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406197938 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| County of Meeker | Current |
Accepting new patients | |
| County of Meeker | 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
612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242
400 10th St E
Waconia, MN 55387
Interoperability endpoints
- tbredeson497863@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2332 | MN | Yes |
Addresses
Primary practice location
612 S Sibley Ave
Litchfield, MN 55355-3340
Mailing address
29266 580TH Ave
Grove City, MN 56243-4503
Phone (605) 490-1829
Other providers in Litchfield, MN
- Kristen Elizabeth Beikirch
- Henry Michael Bernstein
- Whitney Lynn Bertram-Reents
- Wylie Boehmlehner
- Taylar Boerema
- Pamela L Brett
- Doug P Briggman
- Emily Brookshaw
- James Bernard Bruns Jr.
- Samantha Buck
All providers in Litchfield, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.