MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN) – Certified Registered Nurse Anesthetist, NPI 1417321829

MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN) is a healthcare provider. based in Rogers, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP, CRNA, APRN, PHN. They hold a License No. R189295-8 (MN). The NPI Number for MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN) is 1417321829

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN)
NPI
1417321829
Phone
(602) 790-0617
Address
19571 SUNRISE CT
Enumeration Date
23 November 2015
Last Update Date
2 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528885800
Graduation Year
2015 (11 years ago)
PAC ID
7315249406
Group Practice PAC ID
9436439114
Professional Enrollment ID
I20160106001954
Address ID
MN554313100BL9801XSXXX401
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 MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN)

  • 19571 SUNRISE CT

    ROGERS, MN 553744841

    Phone: (602) 790-0617

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-01-19 • Largest payer in this snapshot: Philips Electronics North America Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-19

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: 2016-01-06

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
I20160106001954ICertified 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 55374)

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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: 9436439114View 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
-MN

Reviews

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Frequently asked questions

What federal number belongs to MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN)?
The federal identifier for MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN) is NPI 1417321829.
Is MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN)'s NPI currently valid?
The extract we use shows MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN) as active.
Does MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN). Clinical services aligned with this taxonomy classification.
Where is MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN)'s primary listing?
We display Rogers, Minnesota because that is what the record indicates for MR. PAUL ALLEN COLLIGAN (DNP, CRNA, APRN, PHN).
What if Rogers, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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