JEREMY PANGERL (NPI# 1093250417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093250417 |
| Entity Type | Individual |
| Full Name | JEREMY PANGERL |
| Credential | CRNA |
| Practice Address |
14700 28th Ave N Ste 20 Plymouth MN 55447-4876 |
| Mailing Address |
Po Box 47159 Plymouth MN 55447-0159 |
| Practice Telephone | 7635593779 |
| Practice Fax Number | 7634503986 |
| Mailing Telephone | (763) 559-3779 |
| Mailing Fax Number | 7634503986 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2017-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R157651-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14700 28TH AVE N STE 20 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-4876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090564 | Karin Kenyon | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2005-08-12 |
| 1548869662 | Allison Marie Beilke | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-10-20 |
| 1023617362 | Nickolas C Southwick | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-10-19 |
| 1689281123 | Joy A Okonye | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-29 |
| 1861008542 | John Cutshall | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-18 |
| 1154937993 | Brandy Espy | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-17 |
| 1104432079 | Kelly Rogers | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-16 |
| 1932714904 | Amanda Stoltz | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-15 |
| 1194330167 | Cassandra Marie Quam | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-15 |
| 1558976555 | Sarah Elizabeth Vance | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1689737850 | Kevin Doherty | Nurse Anesthetist, Certified Registered | 275 Sandwich Road, Jordan Hospital, Plymouth, MA 02360 | 2006-12-19 |
| 1629176169 | Michael Roy Baldwin | Nurse Anesthetist, Certified Registered | 315 Eastwood Dr, Plymouth, IN 46563-7950 | 2006-09-20 |
| 1346251964 | Richard Harry Tee | Nurse Anesthetist, Certified Registered | 958 U.S. Hwy 64 East, Plymouth, NC 27962-9216 | 2006-08-10 |
| 1821090564 | Karin Kenyon | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2005-08-12 |
| 1801898747 | Linda A Parrillo | Nurse Anesthetist, Certified Registered | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2005-08-11 |
| 1295735736 | Terrance Dean Copsey | Nurse Anesthetist, Certified Registered | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2005-07-27 |
| 1548869662 | Allison Marie Beilke | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-10-20 |
| 1023617362 | Nickolas C Southwick | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-10-19 |
| 1689281123 | Joy A Okonye | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-29 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.