Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Heinselman

Individual provider Certified Registered Nurse Anesthetist · NPI 1790407187

Tara Heinselman is a Certified Registered Nurse Anesthetist (CRNA) in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with University Anesthesia Providers LLC, a 332-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
4
Licensed in
MN, WI
In the registry since
2022
Specialties on file
4
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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2772 (MN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 52912-30 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 236170-5 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 252912-30 (WI)

Record details

NPI number1790407187
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2022
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023
Mailing address4972 Prairie Spring Ct, Waunakee, WI 53597-8967

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Anesthesia Providers Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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