MICHAEL J NELSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1922074558

MICHAEL J NELSON (CRNA) is a healthcare provider. based in Little falls, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. R1637537 (MN). The NPI Number for MICHAEL J NELSON (CRNA) is 1922074558

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J NELSON (CRNA)
NPI
1922074558
Phone
(320) 632-5743
Address
808 3RD ST SE
Enumeration Date
24 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3206325441
Graduation Year
2003 (23 years ago)
PAC ID
7911981584
Group Practice PAC ID
9830003516
Professional Enrollment ID
I20040614000691
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 MICHAEL J NELSON (CRNA)

  • 3rd Street Southeast, Little Falls, Morrison County, Minnesota, 56345, United States

    SUITE 130

    LITTLE FALLS, MN 563453557

    Phone: (320) 632-5743

    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: 2004-06-14

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
I20040614000691ICertified 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
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1414$0
View full utilization report →

Insurance plans in this area (ZIP 56345)

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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: 9830003516View full group profile
NameSpecialtyState
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)ND
Internal MedicineIN
Internal MedicineMT
Orthopedic SurgeryMN
Nurse PractitionerMN
Nurse PractitionerMN
P O D I A T R YMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

How is MICHAEL J NELSON (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL J NELSON (CRNA) with NPI 1922074558.
Is MICHAEL J NELSON (CRNA) still practicing?
MICHAEL J NELSON (CRNA) is currently listed as active in the public NPI registry.
What is MICHAEL J NELSON (CRNA)'s specialty?
The listing groups MICHAEL J NELSON (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL J NELSON (CRNA)?
MICHAEL J NELSON (CRNA)'s geographic hint is Little Falls, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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