PARK NICOLLET METHODIST HOSPITAL CRNAS
NPI 1083622047
Nurse Anesthetist, Certified Registered in St Louis Park, MN

Active since August 04, 2006
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426(952) 993-5000(952) 993-1980 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Park Nicollet Methodist Hospital Crnas NPPES

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

PARK NICOLLET METHODIST HOSPITAL CRNAS (NPI 1083622047) is a healthcare organization registered as a nurse anesthetist, certified registered in St Louis Park, Minnesota and active in the NPI registry since August 2006. The organization lists Jason James Luhrs, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1083622047
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NamePARK NICOLLET METHODIST HOSPITAL
Location Address6500 EXCELSIOR BLVDSt Louis Park, MN 55426
Mailing Address14700 28th Ave N, Suite 20Plymouth, MN 55447 · (763) 559-3779 · Fax (763) 450-3986
Fax(952) 993-1980
Organization SubpartNo
Authorized OfficialJason James LuhrsVp Finance · (952) 883-7158
Enumeration DateAugust 4, 2006
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1083622047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedAnesthesiologyTaxonomy 207L00000X
6500 EXCELSIOR BLVD, St Louis Park, MN 55426

Other Names 1

Doing Business AsPark Nicollet Methodist Hospital Crnas

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park Nicollet Methodist Hospital Crnas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

146

Medicare enrollment records show 146 clinicians reassign Medicare billing to Park Nicollet Methodist Hospital Crnas, which bills Medicare for the services they deliver. Of these, 85 practice at this address and 124 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)143
Cardiovascular Disease (Cardiology)1
Internal Medicine1
Pathology1

Nearest to this location (20)

See all 146
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255735718
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285609156
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-6522
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1396720363
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-3246
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609325257
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518140102
6500 EXCELSIOR BLVD ANESTHESIOLOGY DEPT
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215902051
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063961365
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679874887
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-2750
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467175422
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174164685
6500 EXCELSIOR BLVD
Minneapolis, MN 55426
(952) 993-6016
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114278876
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043787815
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-6016
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477100543
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-3123
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124007794
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5222
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215365317
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-6016
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700424744
6500 EXCELSIOR BLVD
Minneapolis, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073707246
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194489914
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649040197
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154802452
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ PECOS✔ Accepts MedicareSame address
See all 146 clinicians

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

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 Park Nicollet Methodist Hospital's NPI number?

The NPI number for Park Nicollet Methodist Hospital is 1083622047. It was assigned to this organization in the NPPES registry on August 4, 2006. The provider is doing business as Park Nicollet Methodist Hospital Crnas.

Where is Park Nicollet Methodist Hospital located?

Park Nicollet Methodist Hospital is located at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5000.

What is Park Nicollet Methodist Hospital's specialty?

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

Is Park Nicollet Methodist Hospital enrolled in Medicare?

Yes. Park Nicollet Methodist Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Nicollet Methodist Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 146 clinicians in 4 Medicare specialties reassign their Medicare billing to Park Nicollet Methodist Hospital. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (143), Cardiovascular Disease (Cardiology) (1) and Internal Medicine (1). Of these, 85 practice at this address and 124 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Park Nicollet Methodist Hospital accept?

Health plans from HealthPartners list Park Nicollet Methodist Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Park Nicollet Methodist Hospital was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.