DREW MEMORIAL ANESTHESIA SERVICES – Certified Registered Nurse Anesthetist, NPI 1124074430

DREW MEMORIAL ANESTHESIA SERVICES is a healthcare provider. based in Waconia, Minnesota. specializing in Certified Registered Nurse Anesthetist. The NPI Number for DREW MEMORIAL ANESTHESIA SERVICES is 1124074430

Main info

Organization
Name
DREW MEMORIAL ANESTHESIA SERVICES
NPI
1124074430
Phone
(952) 442-9770
Address
400 EAST 10TH STREET
Authorized Official
SHANNON R CLARK CFO
Enumeration Date
26 May 2006
Last Update Date
25 October 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for DREW MEMORIAL ANESTHESIA SERVICES

  • 400, East 10th Street, Pinehill, Waconia, Carver County, Minnesota, 55387, United States

    WACONIA, MN 553874552

    Phone: (952) 442-9770

    Fax: (952) 442-3620

    Type: Mailing

  • Drew Memorial Hospital, 778, Scogin Drive, Monticello, Drew County, Arkansas, 72655, United States

    MONTICELLO, AR 716555729

    Phone: (870) 367-2411

    Fax: (952) 442-3620

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 55387)

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Reviews

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Frequently asked questions

What unique ID ties claims to DREW MEMORIAL ANESTHESIA SERVICES?
NPI 1124074430 is assigned to DREW MEMORIAL ANESTHESIA SERVICES under the national enumeration system.
Is DREW MEMORIAL ANESTHESIA SERVICES active in the national directory?
DREW MEMORIAL ANESTHESIA SERVICES's public NPI profile is in an active state.
What kind of provider is DREW MEMORIAL ANESTHESIA SERVICES?
The page reflects Certified Registered Nurse Anesthetist for DREW MEMORIAL ANESTHESIA SERVICES. Clinical services aligned with this taxonomy classification.
Where is DREW MEMORIAL ANESTHESIA SERVICES's primary listing?
We display Waconia, Minnesota because that is what the record indicates for DREW MEMORIAL ANESTHESIA SERVICES.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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