AMY BEER TOLLEFSON (CRNA) – Registered Nurse, NPI 1174710305

AMY BEER TOLLEFSON (CRNA) is a healthcare provider. based in St louis park, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R153996-5 (MN). The NPI Number for AMY BEER TOLLEFSON (CRNA) is 1174710305

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
AMY BEER TOLLEFSON (CRNA)
NPI
1174710305
Phone
(952) 993-7169
Address
6465 WAYZATA BLVD
Enumeration Date
2 October 2007
Last Update Date
8 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529935000
Graduation Year
2007 (19 years ago)
PAC ID
0840375283
Group Practice PAC ID
7315840063
Professional Enrollment ID
I20080311000064
Address ID
MN554264702ST6500XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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

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Provider Addresses for AMY BEER TOLLEFSON (CRNA)

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    STE 210

    ST LOUIS PARK, MN 554261728

    Phone: (952) 993-7169

    Fax: (952) 993-0300

    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)

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: 2008-03-11

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
I20080311000064ICertified 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 55426)

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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: 7315840063View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Where can patients find AMY BEER TOLLEFSON (CRNA)'s NPI?
You can confirm AMY BEER TOLLEFSON (CRNA) with NPI 1174710305; it appears in the national provider directory.
Is AMY BEER TOLLEFSON (CRNA)'s NPI currently valid?
The extract we use shows AMY BEER TOLLEFSON (CRNA) as active.
What does AMY BEER TOLLEFSON (CRNA) treat or focus on?
Patients typically see AMY BEER TOLLEFSON (CRNA) under the specialty Registered Nurse. Clinical services aligned with this taxonomy classification.
What location metadata exists for AMY BEER TOLLEFSON (CRNA)?
The page summarizes St Louis Park, Minnesota for AMY BEER TOLLEFSON (CRNA); expand the address list for detail.
What if St Louis Park, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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