AMY ELIZABETH ENGSTROM CRNA
NPI 1154894202
Nurse Anesthetist, Certified Registered in Mankato, MN

Active since January 10, 2019PECOS EnrolledAccepts Medicare Assignment
1411 PREMIER DR, MANKATO, MN 56001(507) 388-6000 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amy Elizabeth Engstrom Crna NPPES

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

AMY ELIZABETH ENGSTROM CRNA (NPI 1154894202) is an individual nurse anesthetist, certified registered in Mankato, Minnesota, licensed in Minnesota (2289) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154894202
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMY ELIZABETH ENGSTROMCredential: CRNA
Location Address1411 PREMIER DRMankato, MN 56001-6076
Mailing Address704 Stoltzman RdMankato, MN 56001-4463 · (507) 381-5893
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 10, 2019
✔ NPI 1154894202 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 · 2289
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.
1411 PREMIER DR, Mankato, MN 56001

Other Names 1

Former Name (1)Amy Elizabeth Kiefer

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

Amy Elizabeth Engstrom 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 ID2567700529
PECOS Enrollment IDI20190218000266
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

2

Medicare enrollment records show Amy Engstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Surgical
1411 PREMIERE DR
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • 25 clinicians in this Medicare group
Anesthesiology
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 118 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.

Areas of Expertise CMS Part B claims 2

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.
61 services57 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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.

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 Amy Engstrom's NPI number?

The NPI number for Amy Engstrom is 1154894202. It was assigned to this individual provider in the NPPES registry on January 10, 2019. The provider is also known as Amy Elizabeth Kiefer.

Where is Amy Engstrom located?

Amy Engstrom practices at 1411 Premier Dr, Mankato, MN 56001. The listed phone number is (507) 388-6000.

What is Amy Engstrom's specialty?

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

Is Amy Engstrom enrolled in Medicare?

Yes. Amy Engstrom 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 Amy Engstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Engstrom reassigns Medicare benefits to 2 organizations: Mankato Surgical Center, L.L.C. (Mankato, MN) and Southdale Anesthesiologists, LLC (Edina, 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 Amy Engstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Engstrom was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.