Kelly Ray Shantz, CRNA
Kelly Ray Shantz, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fairmont, Minnesota. Qualified in 2001, 25 years ago. Practices with Mayo Clinic Health System-Southeast Minnesota Region, a 561-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 25
- Licensed in
- MN
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
800 Medical Center DrFairmont, MN 56031-4575
Phone: (507) 238-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 805 Johnson St, Fairmont, MN 56031-4523 — (507) 238-8100
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 868 (MN) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence R 162289-8 (MN) |
Record details
| NPI number | 1477540995 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNA |
| Sole proprietor | No |
| NPI enumerated | September 29, 2005 |
| Last updated in NPPES | September 17, 2020 |
| Certification date | September 17, 2020 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Mayo Clinic Health System-Southeast Minnesota Region — 561 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Fairmont
-
David Krusemark, CRNA
800 Medical Center Dr, Fairmont, MN 56031-4575 · (507) 238-8555
-
Midwest Anesthesia Services, LLC
717 S State St Ste 100, Fairmont, MN 56031-4470 · (507) 372-2941
-
Mr. Shawn Michael Overgaard, CRNA
800 Medical Center Dr, Fairmont, MN 56031-4575 · (507) 238-8110
-
Prairieview Anesthesia and Pain Management
717 S State St Ste 100, Fairmont, MN 56031-4470 · (888) 209-0305