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KACIE NICOLE WOTTRENG CRNA
NPI 1093095283
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Active since August 19, 2011PECOS EnrolledAccepts Medicare Assignment
2828 CHICAGO AVE, SUITE 300, MINNEAPOLIS, MN 55407(612) 871-7639(612) 872-0302 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kacie Nicole Wottreng Crna NPPES

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

KACIE NICOLE WOTTRENG CRNA (NPI 1093095283) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (R170181-6) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Joseph's Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1093095283
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKACIE NICOLE WOTTRENGCredential: CRNA
Location Address2828 CHICAGO AVE, SUITE 300Minneapolis, MN 55407-1544
Mailing Address2828 Chicago Ave, Suite 300Minneapolis, MN 55407-1544 · (612) 871-7639 · Fax (612) 872-0302
Phone(612) 871-7639
Fax(612) 872-0302
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 19, 2011
✔ NPI 1093095283 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
License✔ Licensed in MN · R170181-6
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.
2828 CHICAGO AVE, Minneapolis, MN 55407
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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

Kacie Nicole Wottreng Crna 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.

PECOS PAC ID9830364009
PECOS Enrollment IDI20111216000354
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kacie Wottreng reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Anesthesia Services PA
9.5 mi
Anesthesiology
13911 RIDGEDALE DR STE 404B
Minnetonka, MN 55305
  • Reassigned Medicare billing, Minnesota enrollment
  • 44 clinicians in this Medicare group
NPI 1073621850 (651) 600-8049
St. Joseph's Medical Center
82 mi
Primary Care
138 MAIN ST S
Pierz, MN 56364
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: St Josephs Medical Center
  • 340 clinicians in this Medicare group
NPI 1568418861 (320) 468-2587
Brainerd Lakes Surgery Center L L C
107 mi
Ambulatory Surgical
13114 ISLE DR
Baxter, MN 56425
  • Reassigned Medicare billing, Minnesota enrollment
  • 21 clinicians in this Medicare group
NPI 1750378295 (218) 822-2400

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
30 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240075
Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KRISTEN M BAINBRIDGE
Nurse Anesthetist, Certified Registered
2828 CHICAGO AVE, SUITE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 871-7639
QUEST DIAGNOSTICS LLC IL
Clinical Medical Laboratory
2828 CHICAGO AVE
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1502
CHARLOTTE MAE FARMER RN, MA, CNP
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE, STE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000
PAUL HOWARD KUNECK MD
Obstetrics & Gynecology (Reproductive Endocrinology)
2828 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-5390
SALLY K JOHNSON CRNA
Nurse Anesthetist, Certified Registered
2828 CHICAGO AVE, STE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 871-7639
STEPHANIE MARIE BRAKEL PA-C
Physician Assistant
2828 CHICAGO AVE, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000
ANGELA MARIE WISKI CRNA
Nurse Anesthetist, Certified Registered
2828 CHICAGO AVE
MINNEAPOLIS, MN 55407
Hennepin County (612) 871-7639
DR. PEZHMAN ROOHANI M.D.
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE, SUITE 200
MINNEAPOLIS, MN 55407
Hennepin County (612) 879-1000

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 Kacie Wottreng's NPI number?

The NPI number for Kacie Wottreng is 1093095283. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Kacie Wottreng located?

Kacie Wottreng practices at 2828 Chicago Ave Suite 300, Minneapolis, MN 55407. The listed phone number is (612) 871-7639.

What is Kacie Wottreng's specialty?

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

Is Kacie Wottreng enrolled in Medicare?

Yes. Kacie Wottreng 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 organizations bill Medicare for Kacie Wottreng's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kacie Wottreng reassigns Medicare benefits to 3 organizations: Regional Anesthesia Services PA (Minnetonka, MN), St. Joseph's Medical Center (Pierz, MN) and Brainerd Lakes Surgery Center L L C (Baxter, MN). Each 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 Kacie Wottreng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kacie Wottreng affiliated with any hospitals?

According to CMS data, Kacie Wottreng is affiliated with Essentia Health St Joseph's Medical Center.

When was this NPI record last updated?

The NPPES record for Kacie Wottreng was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.