MARISSA LYNN SHUKAREY (NPI# 1790127470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790127470 |
| Entity Type | Individual |
| Full Name | MARISSA LYNN SHUKAREY |
| Other Name | MARISSA LYNN MYHRE |
| Credential | CRNA |
| Practice Address |
3472 Hidden Hills Ln Ne Rochester MN 55906-6201 |
| Practice Telephone | 5073588537 |
| Mailing Telephone | 5073588537 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0152 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | R-1657287 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 E 28th St, Minneapolis, MN 554073799 | 6128634000 |
| Street Address |
3472 HIDDEN HILLS LN NE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55906-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472440 | Carole Ellen Jenson | Nurse Practitioner | Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 | 2018-10-11 |
| 1760853980 | Sebandy Home Care Services, LLC | Health Maintenance Organization | 2548 Lisa Ln Ne, Rochester, MN 55906 | 2015-10-14 |
| 1538550611 | Rachel Eldersveld | Nurse Practitioner | 716 12th Ave Ne, Rochester, MN 55906 | 2015-02-11 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1396177457 | Marjorie Evelyn Murray | Custodial Care Facility | 4501-22nd Ave N.e., Rochester, MN 55906 | 2013-07-31 |
| 1447532411 | Peter M Holm | Dentist | 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 | 2011-09-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1235451816 | Connie Krueger | Dental Hygienist | 120 North Broadway, Ne, Suite B, Rochester, MN 55906 | 2010-02-23 |
| 1700115508 | Smn Home Care, LLC | Home Health | 1700 N. Broadway, Suite 114, Rochester, MN 55906 | 2009-12-08 |
| 1528395068 | Ryley D Layden | Chiropractor | 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 | 2009-11-04 |
| Find all providers in zip 55906 | ||||
| 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 |
|---|---|---|---|---|
| 1912423245 | Jennifer Erin Johnson | Nurse Anesthetist, Certified Registered | 201 1st Street Sw, Rochester, MN 55905-0001 | 2017-08-18 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1750774774 | Nicole Marie Keenan | Nurse Anesthetist, Certified Registered | 312 Marion St, Rochester, NY 14610-1122 | 2015-03-16 |
| 1568766871 | Suzanne H Allphin | Nurse Anesthetist, Certified Registered | 46 French Creek Dr, Rochester, NY 14618-5272 | 2010-12-29 |
| 1215252929 | Cameron R Oliver | Nurse Anesthetist, Certified Registered | 4866 Bishop Ln Nw, Rochester, MN 55901-3041 | 2010-04-06 |
| 1841520004 | Whitney E Booth | Nurse Anesthetist, Certified Registered | 601 Elmwood Ave # 604, Rochester, NY 14642-0001 | 2010-01-10 |
| 1457406399 | Gloria Louise Davis | Nurse Anesthetist, Certified Registered | 639 25th St Sw, Rochester, MN 55902-2212 | 2007-01-23 |
| 1093868234 | Donna A Dzialo | Nurse Anesthetist, Certified Registered | 1101 West University Drive, Crittenton Hospital Medical Center, Rochester, MI 48307-1863 | 2007-01-19 |
| 1790878197 | Candace M Chu | Nurse Anesthetist, Certified Registered | 1101 W. University, Anesthesia Department, Rochester, MI 48037 | 2006-09-30 |
| 1194834820 | Barbara Ann Sherman | Nurse Anesthetist, Certified Registered | 980 Westfall Rd Ste 300, Brighton Surgical Center, Rochester, NY 14618-2605 | 2006-08-29 |
| Find all providers in ROCHESTER | ||||
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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.