CARLA M SEVERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1316132640

CARLA M SEVERSON (CRNA) is a healthcare provider. based in Saint cloud, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R 127052-5 (MN). The NPI Number for CARLA M SEVERSON (CRNA) is 1316132640

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
CARLA M SEVERSON (CRNA)
NPI
1316132640
Phone
(320) 258-3090
Address
3701 12TH ST N
Enumeration Date
10 September 2007
Last Update Date
22 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632952945
Graduation Year
2008 (18 years ago)
PAC ID
1951482496
Group Practice PAC ID
3870739410
Professional Enrollment ID
I20080122000768
Address ID
MN553628575MO1013XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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

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Provider Addresses for CARLA M SEVERSON (CRNA)

  • 3701, 12th Street North, St. Cloud, Stearns County, Minnesota, 56303, United States

    STE 202

    SAINT CLOUD, MN 563032255

    Phone: (320) 258-3090

    Fax: (320) 258-3095

    Type: Mailing

  • Saint Cloud Hospital, 1406, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563031900

    Phone: (320) 251-2700

    Type: Location

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: 2008-01-22

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
I20080122000768ICertified 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 56303)

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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: 3870739410View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
Internal MedicineMI
Hospitalist, Internal MedicineMN
Internal Medicine, HospitalistMN
Nurse PractitionerMN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Family Practice, Undersea And Hyperbaric Medicine, Emergency MedicineMN

Reviews

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Frequently asked questions

How do payers reference CARLA M SEVERSON (CRNA)?
For CARLA M SEVERSON (CRNA), use NPI 1316132640 as the unique 10-digit identifier.
Is there an active status for CARLA M SEVERSON (CRNA)?
For scheduling context, CARLA M SEVERSON (CRNA) is shown as active in the registry.
What area of care is associated with CARLA M SEVERSON (CRNA)?
CARLA M SEVERSON (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is CARLA M SEVERSON (CRNA) associated with Saint Cloud?
Public fields place CARLA M SEVERSON (CRNA) around Saint Cloud, Minnesota. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for CARLA M SEVERSON (CRNA) is noted as September 10, 2007 where the registry provides it.

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