Certified Anesthesia Care, Inc – Certified Registered Nurse Anesthetist, NPI 1699736348
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Certified Anesthesia Care, Inc
2055 15th St N Ste B
Saint Cloud, MN 563031543
Phone: (320) 310-0951
Type: Location
11091 Ulysses St NE Ste 400
Blaine, MN 554344237
Phone: (763) 421-9410
Type: Location
8401 Golden Valley Rd Ste 340
Golden Valley, MN 554274488
Phone: (763) 447-3321
Type: Location
7125 Tamarack Rd Ste 200
Woodbury, MN 551251308
Phone: (651) 748-4444
Type: Location
708 Starlight Dr
Sartell, MN 563774525
Phone: (320) 309-1161
Fax: (866) 726-9153
Type: Location
9801 DuPont Ave S Ste 100
Bloomington, MN 554313175
Phone: (952) 888-5800
Type: Location
10709 Wayzata Blvd Ste 100
Minnetonka, MN 553055509
Phone: (763) 553-1142
Type: Location
9117 Lyndale Ave S
Bloomington, MN 554203522
Phone: (952) 835-1235
Fax: (952) 442-3620
Type: Location
10th Street, Somerwood Cottages, Waconia, Carver County, Minnesota, 55387, United States
WACONIA, MN 553874552
Phone: (888) 209-0305
Fax: (952) 442-3620
Type: Mailing
Curve Crest Boulevard West, Stillwater, Washington County, Minnesota, 55082, United States
STILLWATER, MN 550825085
Phone: (888) 209-0305
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)
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: 2016-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20161215001488 | O | Clinic/Group Practice | MN | TBD |
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.
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 56303)
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