Active NPI
Kristi Shewchuk, CRNA
- Certified Registered Nurse Anesthetist
- South Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 89232
- Practice address
- 505 14TH CT
South Saint Paul, MN 55075-2100 - Phone
- (612) 239-5819
- NPI assigned
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R1651225 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 89232 | MN | Primary |
Addresses
Primary practice location
505 14TH CT
South Saint Paul, MN 55075-2100
Mailing address
505 14TH CT
South Saint Paul, MN 55075-2100
Phone (612) 239-5819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131206001146 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5890949655 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Anesthesia Providers LLC
Practice addresses (Care Compare)
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
Hospital & facility affiliations
- M Health Fairview Southdale Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170 | MN | MD | Marriage & Family Therapist |
| R1651225 | MN | MD | Registered Nurse |
| 89232 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Insititue | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients |
Locations
13601 80th Cir N
Ste 100
Maple Grove, MN 55369
Phone (612) 219-5355
2020 E 28th St
Ste 100
Minneapolis, MN 55407
Phone (612) 455-0612
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
MN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
MN, Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1417145517
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Hospital & facility affiliations 3
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": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381536000000",
"number": "1972854586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 14TH CT",
"city": "SOUTH SAINT PAUL",
"state": "MN",
"postal_code": "550752100",
"telephone_number": "612-239-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 14TH CT",
"city": "SOUTH SAINT PAUL",
"state": "MN",
"postal_code": "550752100",
"telephone_number": "612-239-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEWCHUK",
"first_name": "KRISTI",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-21",
"last_updated": "2013-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R1651225",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "89232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2013; 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.