JERRY DURFEE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104016153

JERRY DURFEE (CRNA) is a healthcare provider. based in Waconia, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R142499-9 (MN). The NPI Number for JERRY DURFEE (CRNA) is 1104016153

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JERRY DURFEE (CRNA)
NPI
1104016153
Phone
(952) 442-9770
Address
400 E 10TH ST
Enumeration Date
26 July 2007
Last Update Date
28 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5075329661
Graduation Year
1997 (29 years ago)
PAC ID
4183648819
Group Practice PAC ID
5799695227
Professional Enrollment ID
I20060420000246
Address ID
MN562581934MA300XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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

Loading map...

Provider Addresses for JERRY DURFEE (CRNA)

  • 400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States

    WACONIA, MN 553874552

    Phone: (952) 442-9770

    Fax: (952) 442-3620

    Type: Mailing

  • Chippewa County-Montevideo Hospital, 824, North 11th Street, Montevideo, Chippewa County, Minnesota, 56265, United States

    MONTEVIDEO, MN 562651629

    Phone: (952) 442-9770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2006-04-20

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
I20060420000246ICertified 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 55387)

Loading plans...

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: 5799695227View full group profile
NameSpecialtyState
U R O L O G YIA
Physical Therapist In Private PracticeMN
-MN
-ND
-AZ
Physical Therapist In Private PracticeMN
Nurse PractitionerSD
Certified Registered Nurse Anesthetist (Crna)IA
Diagnostic RadiologySD
-MN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is JERRY DURFEE (CRNA) listed with a National Provider Identifier?
Yes — JERRY DURFEE (CRNA) has NPI 1104016153 on file in the registry.
Would JERRY DURFEE (CRNA) appear as active to a payer?
You can treat JERRY DURFEE (CRNA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JERRY DURFEE (CRNA)?
At a glance, JERRY DURFEE (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Minnesota is JERRY DURFEE (CRNA) registered?
Use Waconia, Minnesota as the headline location for JERRY DURFEE (CRNA) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

JOSEPH MICHAEL KLICK (CRNA)

Certified Registered Nurse Anesthetist
East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States of America
NPI: 1073516266

BARRY SPREEN (CRNA)

Certified Registered Nurse Anesthetist
400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States
NPI: 1063417160

HOWARD C HARDEN (CRNA)

Certified Registered Nurse Anesthetist
400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States
NPI: 1700881844

Unknown Individual

Certified Registered Nurse Anesthetist
East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States
NPI: 1396740460

Unknown Individual

Certified Registered Nurse Anesthetist
400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States
NPI: 1932104668

MS. ANN M MCHALE-SASS (CRNA)

Certified Registered Nurse Anesthetist
400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States
NPI: 1093710725

MICHELLE BAINBRIDGE (CRNA)

Certified Registered Nurse Anesthetist
Grant Regional Health Center, 507, South Monroe Street, Lancaster, Grant County, Wisconsin, 53813, United States
NPI: 1073518601

PALSGROVES SWEET DREAMS INC

Certified Registered Nurse Anesthetist
400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States
NPI: 1225034473

JUDITH A BOTTGER (CRNA)

Certified Registered Nurse Anesthetist
400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States
NPI: 1720088446