MITCHELL ODEAN TOLLEFSON CRNA
NPI 1184393381
Nurse Anesthetist, Certified Registered in Saint Cloud, MN

Q: What is Mitchell Tollefson's NPI number?

The NPI number for Mitchell Tollefson is 1184393381. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Q: What is Mitchell Tollefson's specialty?

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

Active since September 10, 2021PECOS EnrolledAccepts Medicare Assignment

3701 12TH ST N STE 202, SAINT CLOUD, MN 56303(320) 258-3090(320) 258-3090 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mitchell Odean Tollefson Crna NPPES

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

MITCHELL ODEAN TOLLEFSON CRNA (NPI 1184393381) is an individual nurse anesthetist, certified registered in Saint Cloud, Minnesota, licensed in Minnesota (2613) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184393381

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMITCHELL ODEAN TOLLEFSONCredential: CRNA

Location Address3701 12TH ST N STE 202Saint Cloud, MN 56303-2253

Mailing Address3701 12th St N Ste 202Saint Cloud, MN 56303-2253 · (320) 258-3090 · Fax (320) 258-3090

Phone(320) 258-3090

Fax(320) 258-3090

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 10, 2021

Last NPPES UpdateOctober 27, 2021

NPPES CertifiedOctober 27, 2021

✔ NPI 1184393381 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

License✔ Licensed in MN · 2613

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 ListedRegistered NurseTaxonomy 163W00000X · License 2458031 (MN)

3701 12TH ST N STE 202, Saint Cloud, MN 56303

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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

Mitchell Odean Tollefson 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 ID143628776

PECOS Enrollment IDI20211012000593

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 Reassignment

Medicare enrollment records show Mitchell Tollefson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centracare Clinic

Same address

Multi-Specialty

3701 12TH ST N STE 102
Saint Cloud, MN 56303

Reassigned Medicare billing, Minnesota enrollment
1,051 clinicians in this Medicare group

NPI 1003339789 (320) 656-7195

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

Hospital Affiliations CMS Care Compare

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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.

RICHARD E BELMONT JR. D.O.

Anesthesiology