MATTHEW JEWETT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174866446

MATTHEW JEWETT (CRNA) is a healthcare provider. based in Fairmont, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 252 (MN). The NPI Number for MATTHEW JEWETT (CRNA) is 1174866446

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW JEWETT (CRNA)
NPI
1174866446
Phone
(507) 238-8100
Address
800 MEDICAL CENTER DR
Enumeration Date
4 April 2013
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7127221271
Graduation Year
2021 (5 years ago)
PAC ID
6103063474
Group Practice PAC ID
9032027495
Professional Enrollment ID
I20220701001007
Address ID
IA512502501SI1101XSEXX417

Contacts

Secure Messaging
mjewett87705@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

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

Provider Addresses for MATTHEW JEWETT (CRNA)

  • 800 MEDICAL CENTER DR

    FAIRMONT, MN 560314575

    Phone: (507) 238-8100

    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: 2022-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130503000269ICertified Registered Nurse Anesthetist (Crna)MNTBD
I20220701001007ICertified Registered Nurse Anesthetist (Crna)IATBD

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 56031)

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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: 9032027495View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)NE
Physician AssistantIA
Family PracticeIA
Family PracticeIA
Family PracticeIA
Clinical Social WorkerIA
Nurse PractitionerIA
Physician AssistantIA

Reviews

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Frequently asked questions

Is MATTHEW JEWETT (CRNA) listed with a National Provider Identifier?
Yes — MATTHEW JEWETT (CRNA) has NPI 1174866446 on file in the registry.
Is there an active status for MATTHEW JEWETT (CRNA)?
For scheduling context, MATTHEW JEWETT (CRNA) is shown as active in the registry.
What kind of doctor is MATTHEW JEWETT (CRNA)?
MATTHEW JEWETT (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is MATTHEW JEWETT (CRNA) located near Fairmont?
MATTHEW JEWETT (CRNA) currently maps to Fairmont, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.