MOLLY JEAN EDMUNDSON (APRN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1134769243

MOLLY JEAN EDMUNDSON (APRN, CRNA) is a healthcare provider. based in Crosby, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN, CRNA. They hold a License No. 2430 (MN). The NPI Number for MOLLY JEAN EDMUNDSON (APRN, CRNA) is 1134769243

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY JEAN EDMUNDSON (APRN, CRNA)
NPI
1134769243
Phone
(218) 546-7000
Address
320 E MAIN ST
Enumeration Date
7 January 2020
Last Update Date
18 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188287394
Graduation Year
2019 (7 years ago)
PAC ID
0042646945
Group Practice PAC ID
8224948443
Professional Enrollment ID
I20200213001205
Address ID
MN564013054BR523XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

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

Provider Addresses for MOLLY JEAN EDMUNDSON (APRN, CRNA)

  • 320 E MAIN ST

    CROSBY, MN 564411645

    Phone: (218) 546-7000

    Type: Location

  • 523 N 3rd St

    Brainerd, MN 564013054

    Phone: (218) 829-2861

    Type: Location

  • 400 E 3RD ST

    DULUTH, MN 558051951

    Phone: (218) 786-8364

    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: 2020-02-13

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
I20200213001205ICertified 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 56441)

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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: 8224948443View full group profile
NameSpecialtyState
-MN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)ND
Nurse PractitionerMN
Emergency MedicineMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Diagnostic RadiologyMN
Nurse PractitionerMN
Hospitalist, Internal Medicine, Internal Medicine, HospitalistWI

Reviews

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Frequently asked questions

How do payers reference MOLLY JEAN EDMUNDSON (APRN, CRNA)?
For MOLLY JEAN EDMUNDSON (APRN, CRNA), use NPI 1134769243 as the unique 10-digit identifier.
Would MOLLY JEAN EDMUNDSON (APRN, CRNA) appear as active to a payer?
You can treat MOLLY JEAN EDMUNDSON (APRN, CRNA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MOLLY JEAN EDMUNDSON (APRN, CRNA)?
MOLLY JEAN EDMUNDSON (APRN, CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MOLLY JEAN EDMUNDSON (APRN, CRNA) located near Crosby?
MOLLY JEAN EDMUNDSON (APRN, CRNA) currently maps to Crosby, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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