TERESA J FORD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1518968700

TERESA J FORD (CRNA) is a healthcare provider. based in Elk river, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R0867379 (MN). The NPI Number for TERESA J FORD (CRNA) is 1518968700

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
TERESA J FORD (CRNA)
NPI
1518968700
Phone
Not provided
Address
19089 CARSON ST NW
Enumeration Date
10 August 2005
Last Update Date
15 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635531142
Graduation Year
1986 (40 years ago)
PAC ID
4789589417
Group Practice PAC ID
9436439114
Professional Enrollment ID
I20041105000360
Address ID
MN553055509MI10709BLVD301
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

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

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Provider Addresses for TERESA J FORD (CRNA)

  • 19089, Carson Street Northwest, Elk River, Sherburne County, Minnesota, 55330, United States

    ELK RIVER, MN 553302690

    Phone:

    Type: Mailing

  • 8990, Springbrook Drive Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55433, United States

    COON RAPIDS, MN 554335884

    Phone: (763) 398-0099

    Fax: (763) 398-0124

    Type: Location

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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-01-04 • Largest payer in this snapshot: ABBVIE INC. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$25
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: 2004-11-05

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
I20041105000360ICertified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery441328$0
00140Anesthesia for other procedure on eye5745$0
00103Anesthesia for procedure on eyelid1312$0
View full utilization report →

Insurance plans in this area (ZIP 55330)

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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

Can I verify TERESA J FORD (CRNA) with an NPI only?
You can start verification with NPI 1518968700 for TERESA J FORD (CRNA), then check state licensing separately.
Can I rely on TERESA J FORD (CRNA) being an active provider?
As of the registry snapshot, TERESA J FORD (CRNA) is marked active.
What is TERESA J FORD (CRNA) best known for clinically?
Directory data describes TERESA J FORD (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for TERESA J FORD (CRNA)?
TERESA J FORD (CRNA)'s geographic hint is Elk River, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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