JEFFREY MIDDENDORF
NPI 1073666079
Nurse Anesthetist, Certified Registered in Robbinsdale, MN
About Jeffrey Middendorf NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY MIDDENDORF (NPI 1073666079) is an individual nurse anesthetist, certified registered in Robbinsdale, Minnesota, licensed in Minnesota (R139993-0) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeffrey Middendorf is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Middendorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Robbinsdale, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 246 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Memorial Health Hospital
Acute Care Hospitals · Robbinsdale, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55422
MINNEAPOLIS, MN 55422
ROBBINSDALE, MN 55422
MINNEAPOLIS, MN 55422
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeffrey Middendorf's NPI number?
The NPI number for Jeffrey Middendorf is 1073666079. It was assigned to this individual provider in the NPPES registry on January 21, 2007.
Where is Jeffrey Middendorf located?
Jeffrey Middendorf practices at 3300 Oakdale Ave N, Robbinsdale, MN 55422. The listed phone number is (763) 520-1926.
What is Jeffrey Middendorf's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jeffrey Middendorf enrolled in Medicare?
Yes. Jeffrey Middendorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jeffrey Middendorf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Middendorf reassigns Medicare benefits to Anesthesiology, P.A. (Robbinsdale, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Middendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jeffrey Middendorf affiliated with any hospitals?
According to CMS data, Jeffrey Middendorf is affiliated with North Memorial Health Hospital.
When was this NPI record last updated?
The NPPES record for Jeffrey Middendorf was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeffrey Middendorf · NPI 1073666079
Nurse Anesthetist, Certified Registered physician in Robbinsdale, Minnesota. Individual provider, active in the CMS NPPES registry since January 21, 2007.
## Identity
- **NPI:** 1073666079 (Entity type: Individual)
- **Enumerated:** January 21, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R139993-0 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 OAKDALE AVE N, Robbinsdale, MN 55422-2926
- **Phone:** (763) 520-1926
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Anesthesiology, P.A. (NPI 1013960798, Robbinsdale, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** May 22, 2008
- **Other identifiers:** Medicare PIN 430003631 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1073666079) · Data from the CMS NPPES public registry.