ST FRANCIS SURGERY AND ENDOSCOPY CENTER CRNA
NPI 1083442602
Nurse Anesthetist, Certified Registered in Shakopee, MN

Active since July 24, 2024CLIA 24D2309714 · Waiver
1700 ST FRANCIS AVE, STE 100, SHAKOPEE, MN 55379(952) 993-7800 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About St Francis Surgery And Endoscopy Center Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST FRANCIS SURGERY AND ENDOSCOPY CENTER CRNA (NPI 1083442602) is a healthcare organization registered as a nurse anesthetist, certified registered in Shakopee, Minnesota and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through August 19, 2028 and lists Amy Jerdee, President, as its authorized official.

NPPES Registry Identity

NPI1083442602
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameST FRANCIS AMBULATORY SERVICES LLC
Location Address1700 ST FRANCIS AVE, STE 100Shakopee, MN 55379-3374
Mailing Address1700 St Francis Ave, Ste 100Shakopee, MN 55379-3374
Organization SubpartNo
Authorized OfficialAmy JerdeePresident · (952) 428-2400
Enumeration DateJuly 24, 2024
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1083442602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1700 ST FRANCIS AVE, Shakopee, MN 55379

Other Names 1

Doing Business AsSt Francis Surgery And Endoscopy Center Crna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Francis Surgery And Endoscopy Center Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to St Francis Surgery And Endoscopy Center Crna, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 35
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699870790
8100 NORTHLAND DR
Bloomington, MN 55431
(952) 831-8742
✔ PECOS✔ Accepts Medicare10 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215902051
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063961365
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124007794
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073707246
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1730232976
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-6016
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164757035
6500 EXCELSIOR BLVD
Saint Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689643835
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124097704
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154300093
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851477137
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447554027
6500 EXCELSIOR BLVD
Saint Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932187150
6500 EXCELSIOR BLVD
Saint Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326583881
6500 EXCELSIOR BLVD
Saint Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457331449
6500 EXCELSIOR BLVD
Saint Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1245290576
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-6016
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265412977
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-6016
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952380677
6500 EXCELSIOR BLVD
Saint Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821077421
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023459963
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts Medicare13 mi
See all 35 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2309714

St Francis Surgery And Endoscopy Center · Shakopee, MN
Active · expires Aug 19, 2028
CLIA Number24D2309714
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 20, 2026
Certificate Expiration DateAugust 19, 2028
Laboratory DirectorSteven M. Debol
Laboratory Phone(952) 993-6513
Laboratory LocationSt Francis Surgery And Endoscopy Center1700 St Francis Ave, Suite 100, Shakopee, MN 55379
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 St Francis Ambulatory Services LLC's NPI number?

The NPI number for St Francis Ambulatory Services LLC is 1083442602. It was assigned to this organization in the NPPES registry on July 24, 2024. The provider is doing business as St Francis Surgery And Endoscopy Center Crna.

Where is St Francis Ambulatory Services LLC located?

St Francis Ambulatory Services LLC is located at 1700 St Francis Ave Ste 100, Shakopee, MN 55379. The listed phone number is (952) 993-7800.

What is St Francis Ambulatory Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is St Francis Ambulatory Services LLC enrolled in Medicare?

Yes. St Francis Ambulatory Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Francis Ambulatory Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to St Francis Ambulatory Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St Francis Ambulatory Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2309714) is associated with this NPI, valid through August 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Francis Ambulatory Services LLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.