GREGORY J ANDERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083691448

GREGORY J ANDERSON (CRNA) is a healthcare provider. based in Little falls, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R1442120 (MN). The NPI Number for GREGORY J ANDERSON (CRNA) is 1083691448

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY J ANDERSON (CRNA)
NPI
1083691448
Phone
(320) 632-5743
Address
808 3RD ST SE
Enumeration Date
28 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206325441
Graduation Year
2005 (21 years ago)
PAC ID
4183645070
Group Practice PAC ID
9830003516
Professional Enrollment ID
I20070517000177
Address ID
MN563453505LI815XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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Provider Addresses for GREGORY J ANDERSON (CRNA)

  • 3rd Street Southeast, Little Falls, Morrison County, Minnesota, 56345, United States

    SUITE 130

    LITTLE FALLS, MN 563453557

    Phone: (320) 632-5743

    Fax: (320) 632-9680

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Stryker Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$19
View all Open Payments →|Open Payments Risk Radar →

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: 2007-05-17

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
I20070517000177ICertified 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 56345)

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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: 9830003516View full group profile
NameSpecialtyState
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)ND
Internal MedicineIN
Internal MedicineMT
Orthopedic SurgeryMN
Nurse PractitionerMN
Nurse PractitionerMN
P O D I A T R YMN
Nurse PractitionerMN
General SurgeryMN

Reviews

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Frequently asked questions

What NPI should I save for GREGORY J ANDERSON (CRNA)?
Save NPI 1083691448 if you need a stable reference for GREGORY J ANDERSON (CRNA).
Is GREGORY J ANDERSON (CRNA) currently active in the NPI registry?
CMS-published data lists GREGORY J ANDERSON (CRNA) as an active registrant.
What does GREGORY J ANDERSON (CRNA) treat or focus on?
Patients typically see GREGORY J ANDERSON (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for GREGORY J ANDERSON (CRNA)?
We surface Little Falls, Minnesota for GREGORY J ANDERSON (CRNA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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