Active NPI
Krista Lynne Roeller, CRNA
- Certified Registered Nurse Anesthetist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R126984-0
- Practice address
- 420 Delaware St SE
Minneapolis, MN 55455 - Phone
- (612) 626-3000
- NPI assigned
- Mar 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R126984-0 | MN | Primary |
Addresses
Primary practice location
420 Delaware St SE
Minneapolis, MN 55455
Mailing address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Other practice location 1
9645 Grove Cir N Ste 250
Maple Grove, MN 55369-4466
Phone (763) 201-8191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430005451 | Medicaid | MN |
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
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-4097
500 S Maple St
Waconia, MN 55387-1752
Phone (763) 559-3779
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- Ridgeview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R126984-0 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Care System | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast St. John'S Hospital | Current | Accepting new patients | |
| Fairview Bethesda Hospital | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healtheast Woodwinds Hospital | Current | Accepting new patients |
Locations
3000 Hundertmark Rd
Ste 200
Chaska, MN 55318
Phone (952) 361-9922
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
420 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-6483
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Organizations & group practices 9
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
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
-
- Long Term Care Hospital
- Saint Paul, MN
- NPI 1194787465
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- Home Health Agency
- Saint Paul, MN
- NPI 1548595218
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Surgery Physician
- Maplewood, MN
- NPI 1750791810
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Waconia, MN
- NPI 1275608457
-
- General Acute Care Hospital
- Chaska, MN
- NPI 1710748538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1992773634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-626-3000"
}
],
"practiceLocations": [
{
"address_1": "9645 Grove Cir N Ste 250",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553694466",
"country_code": "US",
"telephone_number": "763-201-8191",
"fax_number": "763-201-8192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROELLER",
"first_name": "KRISTA",
"middle_name": "LYNNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R126984-0",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "430005451",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.