Individual provider Active NPI

Teresa D Geis, CRNA

  • Certified Registered Nurse Anesthetist
  • Rushville, IN
National Provider Identifier
1982971016
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28133942A Issued in IN
Practice address
1300 N Main Street
Rushville, IN 46173
Phone
(765) 932-4111
Fax
(859) 341-7867
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28133942A IN
Certified Registered Nurse Anesthetist 367500000X 088857 KY
Certified Registered Nurse Anesthetist 367500000X 28133942A IN Primary
Registered Nurse 163W00000X 344911 OH
Registered Nurse 163W00000X 1119717 KY

Addresses

Primary practice location

1300 N Main Street
Rushville, IN 46173

Mailing address

1300 N Main Street
Rushville, IN 46173
Phone (765) 932-4111

Other identifiers 4

IdentifierTypeStateIssuer
0062877MedicaidOH
00001124000OtherBUREAU OF WORKERS COMPENSATION
201058010MedicaidIN
7100188260MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120210000075 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244497766 Reassigns benefits to 1 organization
I20150616000181 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244497766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians

Practice addresses (Care Compare)

1300 N Main St
Rushville, IN 46173-1116
Phone (765) 932-4111

Hospital & facility affiliations

  • Rush Memorial Hospital Hospital, Rushville, IN, CCN 151304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1119717KYMDRegistered Nurse
344911OHMDRegistered Nurse
28133942AINMDCertified Registered Nurse Anesthetist
088857KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Memorial Hospital CurrentSince Jun 1, 2015 Accepting new patients
Premier Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2015 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2016 Accepting new patients
Rush Memorial Hospital CurrentSince Jun 1, 2015 Accepting new patients
Trihealth G LLC Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

323 Conrad Harcourt Way
Rushville, IN 46173
Phone (765) 932-4441

2845 Chancellor Dr
Ste 100
Crestview Hills, KY 41017

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

Organizations & group practices 6

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1982971016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN STREET",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "46173",
            "telephone_number": "765-932-4111",
            "fax_number": "859-341-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MAIN STREET",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "46173",
            "telephone_number": "765-932-4111",
            "fax_number": "859-341-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIS",
        "first_name": "TERESA",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28133942A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "088857",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28133942A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "344911",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1119717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062877",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMPENSATION",
            "identifier": "00001124000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201058010",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100188260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.