MR. NEIL J ANDERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1912958034

MR. NEIL J ANDERSON (CRNA) is a healthcare provider. based in Superior, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R1579802 (MN). The NPI Number for MR. NEIL J ANDERSON (CRNA) is 1912958034

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. NEIL J ANDERSON (CRNA)
NPI
1912958034
Phone
(715) 392-4741
Address
528 MARINA DR
Enumeration Date
13 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187288548
Graduation Year
2002 (24 years ago)
PAC ID
2163329806
Group Practice PAC ID
2062478431
Professional Enrollment ID
I20060607000289
Address ID
MN558052437DU1420XRDXX301
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 MR. NEIL J ANDERSON (CRNA)

  • 528, Marina Drive, Central Park, City of Superior, Douglas County, Wisconsin, 54880, United States

    SUPERIOR, WI 548803200

    Phone: (715) 392-4741

    Type: Mailing

  • Saint Lukes Hospital, 915, East 1st Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    DULUTH, MN 558052107

    Phone: (218) 249-5555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 111 Open Payments records for all available years, with a total value of $2,263.

Total Amount is formed as General ($2,263) + Research ($0) + Ownership ($0) = $2,263.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($2,133).

Total Amount

$2,263

General + Research + Ownership

Payments

111

Total payment records

General Amount

$2,263

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20031218000960ICertified Registered Nurse Anesthetist (Crna)WITBD
I20060607000289ICertified 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
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1514$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1515$0
01402Anesthesia for procedure for total knee joint replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 54880)

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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: 2062478431View full group profile
NameSpecialtyState
Physician AssistantMN

Reviews

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Frequently asked questions

How do payers reference MR. NEIL J ANDERSON (CRNA)?
For MR. NEIL J ANDERSON (CRNA), use NPI 1912958034 as the unique 10-digit identifier.
Is MR. NEIL J ANDERSON (CRNA) shown as active in public data?
Registry records indicate MR. NEIL J ANDERSON (CRNA) maintains an active NPI.
What expertise is attributed to MR. NEIL J ANDERSON (CRNA)?
MR. NEIL J ANDERSON (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is MR. NEIL J ANDERSON (CRNA) registered?
Use Superior, Wisconsin as the headline location for MR. NEIL J ANDERSON (CRNA) here.
When was this NPI issued?
Enumeration for MR. NEIL J ANDERSON (CRNA) is noted as May 13, 2006 where the registry provides it.

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