BRENDA J KRUSE (NPI# 1780663781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780663781 |
| Entity Type | Individual |
| Full Name | BRENDA J KRUSE |
| Credential | PA |
| Practice Address |
1400 E Madison Ave Suite 400a Mankato MN 56001-5473 |
| Mailing Address |
1230 E Main St Po Box 8674 Mankato MN 56001-5066 |
| Practice Telephone | 5076251811 |
| Mailing Telephone | 5076251811 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9539 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 0109920 | 01 |
| MN | PREFERRED ONE | NA2951025903 | 01 |
| CHAMPUS | 41084933956001C171 | 01 | |
| RR MEDICARE | 970018304 | 01 | |
| MN | BCBS | 66B52KR | 01 |
| AMERICAS PPO | 1662208 | 01 | |
| MN | HEALTH PARTNERS | HP31696 | 01 |
| MN | UCARE | 151319 | 01 |
| MN | 672608900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937113 | Brenda J. Kruse | Anesthesiology | 1111 Duff Ave, Ames, IA 50010-3014 | 2005-10-24 |
| Street Address |
1400 E MADISON AVE SUITE 400A |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851374169 | Mayo Clinic Health System-southwest Minnesota Region | Hospice Care, Community Based | 1400 E Madison Ave, Suite 324a, Mankato, MN 56001-5473 | 2005-11-22 |
| 1801178892 | Joy C Strand | Nurse Anesthetist, Certified Registered | 1400 E Madison Ave, Ste 311, Mankato, MN 56001-5473 | 2011-09-15 |
| 1396065082 | Pain Centers of Minnesota-mankato, LLC | Clinic/Center | 1400 E Madison Ave, Mankato, MN 56001-5473 | 2010-06-04 |
| 1013242536 | Abby O'keefe Stanislaw | Psychologist | 1400 E Madison Ave, Suite 352, Mankato, MN 56001-5473 | 2009-10-16 |
| 1538398250 | Angela Michelle Johnson | Optometrist | 1400 E Madison Ave, Suite 338, Mankato, MN 56001-5473 | 2009-07-02 |
| 1063675858 | Kimberly Ann Haala | Psychologist | 1400 E Madison Ave, Suite 352, Mankato, MN 56001-5473 | 2008-07-02 |
| 1922296599 | Corey Schuler, Dc, Pllc | Clinic/Center | 1400 E Madison Ave, Suite 310, Mankato, MN 56001-5473 | 2007-10-09 |
| 1508063199 | Waterville Chiropractice Center | Occupational Therapist | 1400 E Madison Ave, Suite 310, Mankato, MN 56001-5473 | 2007-06-28 |
| 1851593602 | Mankato Institute of Wellness | Occupational Therapist | 1400 E Madison Ave, Suite 310, Mankato, MN 56001-5473 | 2007-06-04 |
| 1225230337 | Mankato Institute of Wellness | Chiropractor | 1400 E Madison Ave, Suite 310, Mankato, MN 56001-5473 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053609180 | Victoria Sainsbury Louwagie | Physician Assistant | 1025 Marsh Street, Mankato, MN 56001-4752 | 2011-07-11 |
| 1073808739 | Cheryl Ann Hagen | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2011-06-10 |
| 1528399417 | Heidi Ginny Gehrke | Physician Assistant | 1421 Premier Drive, Mankato, MN 56001-5066 | 2010-01-17 |
| 1124358395 | Gabriel Gustav Gehrke | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2010-01-11 |
| 1669451589 | Vicki L Rose | Physician Assistant | 1230 E Main St, Mankato, MN 56002-8674 | 2006-01-10 |
| 1487633491 | Karie M Soost | Physician Assistant | 1230 E Main St, Mankato Clinic @ Main Street, Mankato, MN 56001-5066 | 2006-01-10 |
| 1134107154 | Jessica M Monsen | Physician Assistant | 1230 E Main St, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
| Find all providers with the same taxonomy | ||||
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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.