KIMBERLY S MERTENS CRNA
NPI 1003809104
Nurse Anesthetist, Certified Registered in Eau Claire,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 24, 2005

Contact Information

2107 Heights Dr
Eau Claire,
Post Code: 54701
Phone: (715) 834-8721
Fax: (715) 834-3087

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Kimberly S Mertens Crna in Eau Claire - Nurse Anesthetist, Certified Registered

Kimberly S Mertens Crna is a Nurse Anesthetist, Certified Registered in Eau Claire, . Kimberly S Mertens Crna practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Kimberly S Mertens Crna is 1003809104. The last update date is 2007-07-08.

Kimberly S Mertens Crna's current location address is 2107 Heights Dr, Eau Claire, . You can contact this provider via phone number (715) 834-8721 and fax number (715) 834-3087. The mailing address for Kimberly S Mertens Crna is 2107 Heights Dr, Eau Claire, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003809104
Provider Name
KIMBERLY S MERTENS CRNA
Gender
Female
Entity Type
Individual
Location Address
2107 Heights Dr, Eau Claire,
Location Phone
(715) 834-8721
Location Fax
(715) 834-3087
Mailing Address
1221 Whipple St, Eau Claire, Wisconsin(WI)
Mailing Phone
715-838-3311
Mailing Fax
-
Enumeration Date
2005-08-24
Last Update Date
2007-07-08
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
-
License No.
115803
License State
Wisconsin (WI)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
44337300 MEDICAID (05) Wisconsin (WI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003809104
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031601810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031601810
2 + 0 + 0 + 3 + 1 + 6 + 0 + 1 + 8 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 4 4

The NPI number 1003809104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003809070 KATHY L MCNALLY
Individual
Nurse Anesthetist, Certified Registered 2107 HEIGHTS DR
EAU CLAIRE, Wisconsin (WI)
715-834-8721
1003808676 BENJAMIN E PHILLIPS
Individual
Ophthalmology 1111 BAYSHORE DR
MANITOWOC, Wisconsin (WI)
920-684-4429
1003807686 MICHAEL J PRICE
Individual
Urology 800 WEST AVE S
LA CROSSE, Wisconsin (WI)
608-392-9883
1003807330 ENT PROFESSIONAL ASSOCIATES SC
Organization
Otolaryngology, Otology & Neurotology 1625 MAPLE LN
ASHLAND, Wisconsin (WI)
715-682-9311
1003807322 WILLIAM J HOLZHAEUSER
Individual
Audiologist 2101 BEASER AVE
ASHLAND, Wisconsin (WI)
715-682-9311