MICHAEL JON LOCKWOOD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063765758

MICHAEL JON LOCKWOOD (CRNA) is a healthcare provider. based in Chaska, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 176871-0 (MN). The NPI Number for MICHAEL JON LOCKWOOD (CRNA) is 1063765758

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JON LOCKWOOD (CRNA)
NPI
1063765758
Phone
(763) 229-8423
Address
1991 CLOVER RIDGE DR
Enumeration Date
18 October 2012
Last Update Date
18 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7638981000
Graduation Year
2012 (14 years ago)
PAC ID
5092969279
Group Practice PAC ID
9335033034
Professional Enrollment ID
I20130218000369
Address ID
MN553694648MA9875XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

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

Provider Addresses for MICHAEL JON LOCKWOOD (CRNA)

  • 1991 CLOVER RIDGE DR

    CHASKA, MN 553182954

    Phone: (763) 229-8423

    Type: Mailing

  • 333 SMITH AVE N

    SAINT PAUL, MN 551022344

    Phone: (651) 262-9000

    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: 2013-02-18

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
I20130218000369ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55318)

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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: 9335033034View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

How is MICHAEL JON LOCKWOOD (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL JON LOCKWOOD (CRNA) with NPI 1063765758.
Does CMS list MICHAEL JON LOCKWOOD (CRNA) as active?
Yes — MICHAEL JON LOCKWOOD (CRNA) is active in the NPI listing used on this page.
What taxonomy line describes MICHAEL JON LOCKWOOD (CRNA)?
For research purposes, treat MICHAEL JON LOCKWOOD (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MICHAEL JON LOCKWOOD (CRNA) serve?
MICHAEL JON LOCKWOOD (CRNA)'s listing highlights Chaska, Minnesota; more addresses can appear in NPPES.
Is the information about MICHAEL JON LOCKWOOD (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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