SOPHIA ALEXANDRA ERDAHL – Certified Registered Nurse Anesthetist, NPI 1700490679

SOPHIA ALEXANDRA ERDAHL is a healthcare provider. based in Andover, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 2879 (MN). The NPI Number for SOPHIA ALEXANDRA ERDAHL is 1700490679

Main info

Female
3 Years Of Experience
Name
SOPHIA ALEXANDRA ERDAHL
NPI
1700490679
Phone
(612) 990-0883
Address
15380 COTTONWOOD ST NW
Enumeration Date
8 September 2020
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514644611
Graduation Year
2023 (3 years ago)
PAC ID
4688023179
Group Practice PAC ID
0648244152
Professional Enrollment ID
I20231208002578
Address ID
MN550928013WY5200XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

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

Provider Addresses for SOPHIA ALEXANDRA ERDAHL

  • 15380 COTTONWOOD ST NW

    ANDOVER, MN 553048503

    Phone: (612) 990-0883

    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 $8.

Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.

Last reported payment date: 2024-06-07 • Largest payer in this snapshot: Ambu Inc. ($8).

Total Amount

$8

General + Research + Ownership

Payments

1

Total payment records

General Amount

$8

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ambu Inc.$8
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: 2023-12-08

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
I20231208002578ICertified 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 55304)

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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: 0648244152View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-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)FL

Reviews

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Frequently asked questions

Can I use this page to confirm SOPHIA ALEXANDRA ERDAHL's NPI?
Yes. SOPHIA ALEXANDRA ERDAHL is listed with NPI 1700490679 in the public NPI dataset.
Does the file indicate SOPHIA ALEXANDRA ERDAHL is practicing under active NPI?
Directory data currently reports SOPHIA ALEXANDRA ERDAHL as active.
What taxonomy line describes SOPHIA ALEXANDRA ERDAHL?
For research purposes, treat SOPHIA ALEXANDRA ERDAHL as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Does SOPHIA ALEXANDRA ERDAHL list a practice location?
Patients near Andover, Minnesota may find SOPHIA ALEXANDRA ERDAHL in results; validate coverage separately.
Is the information about SOPHIA ALEXANDRA ERDAHL up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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