CARLY FELICETTA
NPI 1336490929
Nurse Anesthetist, Certified Registered in Coon Rapids, MN
About Carly Felicetta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY FELICETTA (NPI 1336490929) is an individual nurse anesthetist, certified registered in Coon Rapids, Minnesota, licensed in Minnesota (091718) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Carly Felicetta 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.
Medicare Billing Reassignments
5Medicare enrollment records show Carly Felicetta reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 226 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
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 Carly Felicetta's NPI number?
The NPI number for Carly Felicetta is 1336490929. It was assigned to this individual provider in the NPPES registry on September 24, 2012.
Where is Carly Felicetta located?
Carly Felicetta practices at 8990 Springbrook Dr NW #250, Coon Rapids, MN 55433. The listed phone number is (764) 360-5348.
What is Carly Felicetta's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Carly Felicetta enrolled in Medicare?
Yes. Carly Felicetta 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 Carly Felicetta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Felicetta reassigns Medicare benefits to 5 organizations: Fairview Maple Grove Surgery Center, LLC (Maple Grove, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), University Anesthesia Providers, LLC (Minneapolis, 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 Carly Felicetta'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 Carly Felicetta was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Carly Felicetta · NPI 1336490929
Nurse Anesthetist, Certified Registered physician in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since September 24, 2012.
## Identity
- **NPI:** 1336490929 (Entity type: Individual)
- **Enumerated:** September 24, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 091718 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8990 SPRINGBROOK DR NW, #250, Coon Rapids, MN 55433
- **Phone:** (764) 360-5348
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fairview Maple Grove Surgery Center, LLC (NPI 1730068032, Maple Grove, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); University Anesthesia Providers, LLC (NPI 1699711143, Minneapolis, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 24, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1336490929) · Data from the CMS NPPES public registry.