| Jennie Gappa, | |
|
251 5th St E, Tracy, MN 56175-1536 | |
| (507) 629-8400 | |
| Not Available |
| Full Name | Jennie Gappa |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 251 5th St E, Tracy, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932562188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1915 (Minnesota) | Primary |
| Entity Name | Mankato Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
| Entity Name | River's Edge Hospital & Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407849367 PECOS PAC ID: 7214849397 Enrollment ID: O20031120000094 |
| Entity Name | Windom Area Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841288644 PECOS PAC ID: 7113911272 Enrollment ID: O20040412001199 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003851171 PECOS PAC ID: 6800707100 Enrollment ID: O20061104000725 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326069097 PECOS PAC ID: 6800707100 Enrollment ID: O20070504000110 |
| Entity Name | Mankato Surgical Center, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1720161615 PECOS PAC ID: 2163564659 Enrollment ID: O20100121000534 |
| Entity Name | Carris Health - Redwood Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Gappa, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Jennie Gappa, 251 5th St E, Tracy, MN 56175-1536 Ph: (507) 629-8400 |
Thomas A Bruns, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 249 5th St E, Tracy, MN 56175 Phone: 507-629-8300 |