NATHAN JEFFREY KING (APRN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1023728623

NATHAN JEFFREY KING (APRN, CRNA) is a healthcare provider. based in Alexandria, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN, CRNA. They hold a License No. 2139115 (MN). The NPI Number for NATHAN JEFFREY KING (APRN, CRNA) is 1023728623

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN JEFFREY KING (APRN, CRNA)
NPI
1023728623
Phone
(320) 762-6084
Address
1500 IRVING ST
Enumeration Date
5 December 2022
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3207621511
Graduation Year
2022 (4 years ago)
PAC ID
1759752587
Group Practice PAC ID
9931690047
Professional Enrollment ID
I20230113001415
Address ID
MN563085273AL111XXEXXX400

Contacts

Secure Messaging
nking662219@direct.centracare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Other namesUpdated within 12 months

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for NATHAN JEFFREY KING (APRN, CRNA)

  • 1500 IRVING ST

    ALEXANDRIA, MN 563080046

    Phone: (320) 762-6084

    Fax: (320) 762-6454

    Type: Mailing

  • 111 17TH AVE E

    ALEXANDRIA, MN 563085273

    Phone: (320) 762-1511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230113001415ICertified Registered Nurse Anesthetist (Crna)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope3131$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
01402Anesthesia for procedure for total knee joint replacement1111$0
View full utilization report →

Insurance plans in this area (ZIP 56308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931690047View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Internal MedicineMN
O B S T E T R I C S/ G Y N E C O L O G YMN
H O S P I T A L I S TMN
Emergency MedicineMI
Emergency MedicineMN
Emergency MedicineMN
U R O L O G YMN
Physician AssistantMN
Emergency MedicineMN

Reviews

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Frequently asked questions

Where can patients find NATHAN JEFFREY KING (APRN, CRNA)'s NPI?
You can confirm NATHAN JEFFREY KING (APRN, CRNA) with NPI 1023728623; it appears in the national provider directory.
Is NATHAN JEFFREY KING (APRN, CRNA) active in the national directory?
NATHAN JEFFREY KING (APRN, CRNA)'s public NPI profile is in an active state.
What field does NATHAN JEFFREY KING (APRN, CRNA) work in?
You can think of NATHAN JEFFREY KING (APRN, CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is NATHAN JEFFREY KING (APRN, CRNA)'s primary listing?
We display Alexandria, Minnesota because that is what the record indicates for NATHAN JEFFREY KING (APRN, CRNA).
Is NATHAN JEFFREY KING (APRN, CRNA) a real provider?
This page reflects official NPPES data for NPI 1023728623. Always confirm identity and privileges with the practice and licensing boards.

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