BENJAMIN O GILLMER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1134537574
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN
Provider Addresses for BENJAMIN O GILLMER (CRNA)
1805 HENNEPIN AVE N
GLENCOE, MN 553361416
Phone: (320) 864-3121
Fax: (320) 864-7887
Type: Mailing
6401 FRANCE AVE S
EDINA, MN 554352104
Phone: (529) 924-5000
Type: Mailing
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: 2014-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (889 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20141209000649 | I | Certified Registered Nurse Anesthetist (Crna) | MN | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 55336)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | AZ | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 26 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | PA | |
| 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 | 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 | |
| A N E S T H E S I O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN |
Reviews
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