MR. JED W ADAMS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164400388

MR. JED W ADAMS (CRNA) is a healthcare provider. based in Prior lake, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R 138790-0 (MN). The NPI Number for MR. JED W ADAMS (CRNA) is 1164400388

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. JED W ADAMS (CRNA)
NPI
1164400388
Phone
(952) 402-9499
Address
14210 COYOTE CIR
Enumeration Date
6 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524283000
Graduation Year
2002 (24 years ago)
PAC ID
4789658030
Group Practice PAC ID
7214821909
Professional Enrollment ID
I20040823000710
Address ID
MN553793374SH1455XAVEX400
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

Provider Addresses for MR. JED W ADAMS (CRNA)

  • 14210, Coyote Circle, Prior Lake, Scott County, Minnesota, 55372, United States

    PRIOR LAKE, MN 553723257

    Phone: (952) 402-9499

    Type: Mailing

  • 1415 SAINT FRANCIS AVE

    ANESTHESIOLOGY

    PRIOR LAKE, MN 553793374

    Phone: (952) 402-9499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-08-23

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
I20040823000710ICertified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope5553$0
00811Anesthesia for other procedure on large bowel using an endoscope3636$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 55372)

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: 7214821909View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Diagnostic RadiologyMN
Nurse PractitionerMN
-MN
Nurse PractitionerSD
Family PracticeMN
Family PracticeMN
Physician AssistantMN
Certified Registered Nurse Anesthetist (Crna)MN
Emergency MedicineWI

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 MR. JED W ADAMS (CRNA) listed with a National Provider Identifier?
Yes — MR. JED W ADAMS (CRNA) has NPI 1164400388 on file in the registry.
Active or inactive — what applies to MR. JED W ADAMS (CRNA)?
You should see MR. JED W ADAMS (CRNA) as active in CMS-hosted NPPES data.
What expertise is attributed to MR. JED W ADAMS (CRNA)?
MR. JED W ADAMS (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. JED W ADAMS (CRNA) located near Prior Lake?
MR. JED W ADAMS (CRNA) currently maps to Prior Lake, Minnesota in this extract.
When was this NPI issued?
Enumeration for MR. JED W ADAMS (CRNA) is noted as January 6, 2006 where the registry provides it.

Similar Providers

MS. DAWN M BUHAIN (CRNA)

Certified Registered Nurse Anesthetist
2834, Bobcat Northwest Trail, Prior Lake, Scott County, Minnesota, 55372, United States
NPI: 1861461428

ANITA M PAKIZ (CRNA)

Certified Registered Nurse Anesthetist
16049, Northwood Road Northwest, Grainwood, Spring Lake, Prior Lake, Scott County, Minnesota, 55372, United States
NPI: 1588611222

Unknown Individual

Certified Registered Nurse Anesthetist
3564, Willow Beach Street Southwest, Spring Lake, Prior Lake, Scott County, Minnesota, 55372, United States
NPI: 1508806530

MS. COLEEN SUE HELBERG (CRNA)

Certified Registered Nurse Anesthetist
Lake Bluff Circle, Spring Lake, Prior Lake, Scott County, Minnesota, United States
NPI: 1760410963

MRS. MARGARET MARY GALLUS (CRNA)

Certified Registered Nurse Anesthetist
Wilderness Ridge Road Northwest, Prior Lake, Scott County, Minnesota, 55372, United States
NPI: 1205085594

TANYA SIMPSON (CRNA)

Certified Registered Nurse Anesthetist
5540 MAVES TRL SE
NPI: 1447535703

MRS. DENA MARIE HOFFMAN (CRNA)

Certified Registered Nurse Anesthetist
16220 LAKESIDE AVE SE
NPI: 1245516541

NICOLE THEISEN (CRNA)

Certified Registered Nurse Anesthetist
3199 TIMBERWOLF CIR NW
NPI: 1164854188

MICHAEL JEFFREY MUEHLENBEIN (CRNA)

Certified Registered Nurse Anesthetist
2764 180TH ST E
NPI: 1346647013