SUSAN J PANNKUK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1427099969

SUSAN J PANNKUK (CRNA) is a healthcare provider. based in Plymouth, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. R097004-6 (MN). The NPI Number for SUSAN J PANNKUK (CRNA) is 1427099969

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN J PANNKUK (CRNA)
NPI
1427099969
Phone
(763) 559-3779
Address
14700 28TH AVE N
Enumeration Date
8 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529329012
Graduation Year
1995 (31 years ago)
PAC ID
3375438575
Group Practice PAC ID
0648250548
Professional Enrollment ID
I20040217000696
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SUSAN J PANNKUK (CRNA)

  • 14700, 28th Avenue North, Plymouth, Hennepin County, Minnesota, 55447, United States

    SUITE 20

    PLYMOUTH, MN 554474835

    Phone: (763) 559-3779

    Fax: (763) 450-3986

    Type: Mailing

  • 920, East 1st Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    SUITE 101

    DULUTH, MN 558052201

    Phone: (218) 279-6200

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 55447)

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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: 0648250548View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
A N E S T H E S I O L O G YMN
-MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
A N E S T H E S I O L O G YMN

Reviews

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Frequently asked questions

Where can patients find SUSAN J PANNKUK (CRNA)'s NPI?
You can confirm SUSAN J PANNKUK (CRNA) with NPI 1427099969; it appears in the national provider directory.
Is SUSAN J PANNKUK (CRNA) active in the national directory?
SUSAN J PANNKUK (CRNA)'s public NPI profile is in an active state.
What field does SUSAN J PANNKUK (CRNA) work in?
You can think of SUSAN J PANNKUK (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does SUSAN J PANNKUK (CRNA) practice in Minnesota?
You will see Plymouth, Minnesota on file for SUSAN J PANNKUK (CRNA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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