NATHAN SCOTTUM (APRN CRNA) – Certified Registered Nurse Anesthetist, NPI 1336504216

NATHAN SCOTTUM (APRN CRNA) is a healthcare provider. based in Saint paul, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN CRNA. They hold a License No. 109308 (MN). The NPI Number for NATHAN SCOTTUM (APRN CRNA) is 1336504216

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN SCOTTUM (APRN CRNA)
NPI
1336504216
Phone
(651) 697-5804
Address
333 SMITH AVE N
Enumeration Date
21 December 2015
Last Update Date
21 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4254517335
Graduation Year
2015 (11 years ago)
PAC ID
6002110947
Group Practice PAC ID
5799853099
Professional Enrollment ID
I20200601001894
Address ID
WA980044632BE1135XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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

Provider Addresses for NATHAN SCOTTUM (APRN CRNA)

  • 333 SMITH AVE N

    SAINT PAUL, MN 551022344

    Phone: (651) 697-5804

    Type: Location

  • 536 S MOODY RD

    SAINT CROIX FALLS, WI 540249407

    Phone: (715) 808-1457

    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: 2020-06-01

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
I20190507002295ICertified Registered Nurse Anesthetist (Crna)WITBD
I20200601001894ICertified Registered Nurse Anesthetist (Crna)WATBD

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
00142Anesthesia for lens surgery170154$0
00811Anesthesia for other procedure on large bowel using an endoscope9595$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4240$0
00812Anesthesia for exam of colon using an endoscope3939$0
00103Anesthesia for procedure on eyelid2928$0
View full utilization report →

Insurance plans in this area (ZIP 55102)

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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: 5799853099View full group profile
NameSpecialtyState
-WA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OR

Reviews

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Frequently asked questions

Does NATHAN SCOTTUM (APRN CRNA) have a public NPI I can cite?
Public records show NATHAN SCOTTUM (APRN CRNA) under NPI 1336504216.
Is NATHAN SCOTTUM (APRN CRNA)'s NPI status active today?
Active status means NATHAN SCOTTUM (APRN CRNA)'s NPI record is not deactivated in the public file.
Which specialty label fits NATHAN SCOTTUM (APRN CRNA)?
NPPES ties NATHAN SCOTTUM (APRN CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to NATHAN SCOTTUM (APRN CRNA)?
NATHAN SCOTTUM (APRN CRNA) shows a connection to Saint Paul, Minnesota in registry-derived data.
Can I export NATHAN SCOTTUM (APRN CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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