BENJAMIN B EVENSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1659328375

BENJAMIN B EVENSON (CRNA) is a healthcare provider. based in Detroit lakes, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R161934-8 (MN). The NPI Number for BENJAMIN B EVENSON (CRNA) is 1659328375

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN B EVENSON (CRNA)
NPI
1659328375
Phone
(218) 847-5611
Address
1027 WASHINGTON AVE
Enumeration Date
28 May 2006
Last Update Date
16 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188442300
Graduation Year
2000 (26 years ago)
PAC ID
5991692147
Group Practice PAC ID
2062326820
Professional Enrollment ID
I20040302000755
Address ID
MN565013409DE1027XAVEX300
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 BENJAMIN B EVENSON (CRNA)

  • Essentia Health Saint Mary's - Detroit Lakes, 1027, Washington Avenue, Detroit Lakes, Becker County, Minnesota, 56501, United States

    DETROIT LAKES, MN 565013409

    Phone: (218) 847-5611

    Fax: (218) 847-0881

    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)

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: 2004-03-02

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
I20040302000755ICertified 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
00811Anesthesia for other procedure on large bowel using an endoscope1515$0
00812Anesthesia for exam of colon using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 56501)

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Provider's Procedures

BENJAMIN B EVENSON (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMN00142Anesthesia for lens surgery1514

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: 2062326820View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeND
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)MN
Family PracticeND
Family Practice, Emergency MedicineMN
Nurse PractitionerWI
Family PracticeMN
Nurse PractitionerND
Nurse PractitionerMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

What identifier follows BENJAMIN B EVENSON (CRNA) across health systems?
The NPI 1659328375 uniquely identifies BENJAMIN B EVENSON (CRNA) in U.S. healthcare data.
Does the public listing show BENJAMIN B EVENSON (CRNA) as active?
BENJAMIN B EVENSON (CRNA)'s NPI record reflects an active status in NPPES.
Which specialty label fits BENJAMIN B EVENSON (CRNA)?
NPPES ties BENJAMIN B EVENSON (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit BENJAMIN B EVENSON (CRNA) in Detroit Lakes, Minnesota?
For routing, start with Detroit Lakes, Minnesota for BENJAMIN B EVENSON (CRNA), then verify phone and hours locally.
Who maintains BENJAMIN B EVENSON (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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