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MATTHEW J KUCKLER CRNA
NPI 1174622161
Nurse Anesthetist, Certified Registered in St Paul, MN

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
69 EXCHANGE ST W, ST PAUL, MN 55102(651) 735-0501(651) 735-1870 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Matthew J Kuckler Crna NPPES

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

MATTHEW J KUCKLER CRNA (NPI 1174622161) is an individual nurse anesthetist, certified registered in St Paul, Minnesota, licensed in Minnesota (R1427336) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1174622161
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMATTHEW J KUCKLERCredential: CRNA
Location Address69 EXCHANGE ST WSt Paul, MN 55102
Mailing Address8681 Eagle Point BlvdLake Elmo, MN 55042-8628 · (651) 251-8021 · Fax (651) 251-8050
Phone(651) 735-0501
Fax(651) 735-1870
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 22, 2006
Last NPPES UpdateOctober 5, 2010
✔ NPI 1174622161 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 · R1427336
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.
69 EXCHANGE ST W, St Paul, MN 55102
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Other Identifiers 2

Medicaid706143900MN
Medicare ID-Type Unspecified430005128MN

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

Matthew J Kuckler 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 ID840243804
PECOS Enrollment IDI20050302000228
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 Matthew Kuckler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southdale Anesthesiologists, LLC
12 mi
Anesthesiology
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 118 clinicians in this Medicare group
NPI 1154381804 (952) 924-5187
Metropolitan Anesthesia Network, LLP
18 mi
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
NPI 1558314427 (763) 559-3779

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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.

MELANIE A FERGUSON CRNA
Nurse Anesthetist, Certified Registered
69 EXCHANGE ST W
SAINT PAUL, MN 55102
Ramsey County (651) 735-0501
ELIZABETH ANNE NORTHRUP LICSW
Social Worker (Clinical)
69 EXCHANGE ST W
SAINT PAUL, MN 55102
Ramsey County (651) 326-3259
GERILYN A ERKKILA LICSW
Social Worker (Clinical)
69 EXCHANGE ST W
SAINT PAUL, MN 55102
Ramsey County (651) 232-3000
MELANIE A ROUSE LICSW
Social Worker (Clinical)
69 EXCHANGE ST W
SAINT PAUL, MN 55102
Ramsey County (651) 232-3000
DR. FAISAL M CHOUDHRY MD
Anesthesiology
69 EXCHANGE ST W
SAINT PAUL, MN 55102
Ramsey County (651) 735-0501
DR. MELINDA G BROWN MD
Anesthesiology
69 EXCHANGE ST W
SAINT PAUL, MN 55102
Ramsey County (651) 735-0501
AGMA Z BERGMANN
Interpreter
69 EXCHANGE ST W
SAINT PAUL, MN 55102
Ramsey County (651) 232-3000
LISA SOLTERMANN LICSW
Social Worker (Clinical)
69 EXCHANGE ST W
SAINT PAUL, MN 55102
Ramsey County (651) 232-3336

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 Matthew Kuckler's NPI number?

The NPI number for Matthew Kuckler is 1174622161. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Matthew Kuckler located?

Matthew Kuckler practices at 69 Exchange St W, St Paul, MN 55102. The listed phone number is (651) 735-0501.

What is Matthew Kuckler's specialty?

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

Is Matthew Kuckler enrolled in Medicare?

Yes. Matthew Kuckler 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 Matthew Kuckler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Kuckler reassigns Medicare benefits to 2 organizations: Southdale Anesthesiologists, LLC (Edina, MN) and Metropolitan Anesthesia Network, LLP (Plymouth, 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 Matthew Kuckler'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 Matthew Kuckler was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.