DR. SUSAN R STAUDT (MD) – Anesthesiology Physician, NPI 1043266224
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
972 ANESTHESIOLOGY in MN
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Provider Addresses for DR. SUSAN R STAUDT (MD)
1912, Fremont Avenue South, Lowry Hill, Bde Maka Ska-Isles, Minneapolis, Hennepin County, Minnesota, 55403, United States
MINNEAPOLIS, MN 554032932
Phone: (414) 704-1929
Type: Mailing
Mayo Memorial Building, 420, Southeast Delaware Street, University, Stadium Village, University, Minneapolis, Hennepin County, Minnesota, 55455, United States
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Phone: (612) 624-9990
Fax: (612) 626-2363
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: 2020-05-02
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100726000429 | I | Anesthesiology | WI | TBD |
| I20200502000161 | I | Anesthesiology | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| A N E S T H E S I O L O G Y | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| A N E S T H E S I O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| A N E S T H E S I O L O G Y | IA | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN |
Reviews
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