Kristi Shewchuk, CRNA | |
505 14th Ct, South Saint Paul, MN 55075-2100 | |
(612) 239-5819 | |
Not Available |
Full Name | Kristi Shewchuk |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 505 14th Ct, South Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972854586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R1651225 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 89232 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fairview Southdale Hospital | Edina, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Anesthesia Providers Llc | 7315986064 | 250 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Metropolitan Anesthesia Network Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Entity Name | Healtheast St Joseph's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134186273 PECOS PAC ID: 2365348869 Enrollment ID: O20031208000245 |
Entity Name | University Anesthesia Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
Mailing Address | Practice Location Address |
---|---|
Kristi Shewchuk, CRNA 505 14th Ct, South Saint Paul, MN 55075-2100 Ph: (612) 239-5819 | Kristi Shewchuk, CRNA 505 14th Ct, South Saint Paul, MN 55075-2100 Ph: (612) 239-5819 |