LAURA FORTMEYER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1700551942

LAURA FORTMEYER (CRNA) is a healthcare provider. based in Lino lakes, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2622 (MN). The NPI Number for LAURA FORTMEYER (CRNA) is 1700551942

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LAURA FORTMEYER (CRNA)
NPI
1700551942
Phone
(715) 523-1052
Address
722 79TH ST
Enumeration Date
10 August 2021
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512548080
Graduation Year
2021 (5 years ago)
PAC ID
8123412871
Group Practice PAC ID
3173436755
Professional Enrollment ID
I20220223002320
Address ID
MN551305302SA435XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

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

Provider Addresses for LAURA FORTMEYER (CRNA)

  • 722 79TH ST

    LINO LAKES, MN 550141161

    Phone: (715) 523-1052

    Type: Mailing

  • 3148 FREMONT AVE S

    MINNEAPOLIS, MN 554082724

    Phone: (715) 523-1052

    Type: Mailing

  • 640 JACKSON ST

    SAINT PAUL, MN 551012595

    Phone: (651) 254-3456

    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.

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: 2022-02-23

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
I20220223002320ICertified 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 55014)

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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: 3173436755View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Emergency MedicineMN
Certified Registered Nurse Anesthetist (Crna)MN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Certified Registered Nurse Anesthetist (Crna)MN
-WI
Physical Therapist In Private PracticeMN
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What is the registry number for LAURA FORTMEYER (CRNA)?
The registry entry for LAURA FORTMEYER (CRNA) shows NPI 1700551942.
Is LAURA FORTMEYER (CRNA)'s NPI status active today?
Active status means LAURA FORTMEYER (CRNA)'s NPI record is not deactivated in the public file.
What services align with LAURA FORTMEYER (CRNA)'s listing?
LAURA FORTMEYER (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit LAURA FORTMEYER (CRNA) in Lino Lakes, Minnesota?
For routing, start with Lino Lakes, Minnesota for LAURA FORTMEYER (CRNA), then verify phone and hours locally.
Why is information missing for LAURA FORTMEYER (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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