CENTRAL MINNESOTA ANESTHESIA PROVIDERS, PLLC
NPI 1417315185
Anesthesiology - Pain Medicine in Saint Augusta, MN

Active since February 09, 2016
22415 STATE HIGHWAY 15, SAINT AUGUSTA, MN 56301(320) 492-6506 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2021, Feb 23, 2016, Feb 9, 2016 (3 updates tracked since 2016).

About Central Minnesota Anesthesia Providers, Pllc NPPES

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

CENTRAL MINNESOTA ANESTHESIA PROVIDERS, PLLC (NPI 1417315185) is a healthcare organization registered as a pain medicine in Saint Augusta, Minnesota and active in the NPI registry since February 2016. The organization lists Wayne Jandik, Owner, as its authorized official.

NPPES Registry Identity

NPI1417315185
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameCENTRAL MINNESOTA ANESTHESIA PROVIDERS, PLLC
Location Address22415 STATE HIGHWAY 15Saint Augusta, MN 56301-9207
Mailing AddressPo Box 7185Saint Cloud, MN 56302-7185 · (320) 492-6506
Organization SubpartNo
Authorized OfficialWayne JandikOwner · (320) 492-6506
Enumeration DateFebruary 9, 2016
Last NPPES UpdateJune 2, 20213 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1417315185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in MN · 38209
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
22415 STATE HIGHWAY 15, Saint Augusta, MN 56301

Other Identifiers 1

Other38209MN · Minnesota License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Minnesota Anesthesia Providers, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Central Minnesota Anesthesia Providers, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)9
Anesthesiology1

Clinicians, nearest first (10)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1881237840
3701 12TH ST N STE 202
Saint Cloud, MN 56303
(320) 258-3090
✔ PECOS✔ Accepts Medicare9.0 mi
Anesthesiology
NPI 1174514731
1406 6TH AVE N
Saint Cloud, MN 56303
(320) 251-2700
✔ PECOS✔ Accepts Medicare9.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336442144
1406 6TH AVE N
Saint Cloud, MN 56303
(320) 258-3090
✔ PECOS✔ Accepts Medicare9.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1558026757
1406 6TH AVE N
Saint Cloud, MN 56303
(320) 251-2700
✔ PECOS✔ Accepts Medicare9.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598966145
1406 6TH AVE N
Saint Cloud, MN 56303
(320) 251-2700
✔ PECOS✔ Accepts Medicare9.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1558985747
1526 NORTHWAY DR
Saint Cloud, MN 56303
(320) 229-3246
✔ PECOS9.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679047013
111 17TH AVE E
Alexandria, MN 56308
(320) 762-1511
✔ PECOS✔ Accepts Medicare62 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023728623
111 17TH AVE E
Alexandria, MN 56308
(320) 762-1511
✔ PECOS✔ Accepts Medicare62 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407196975
111 17TH AVE E
Alexandria, MN 56308
(320) 762-1511
✔ PECOS✔ Accepts Medicare62 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386987378
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare132 mi

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

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 Central Minnesota Anesthesia Providers, PLLC's NPI number?

The NPI number for Central Minnesota Anesthesia Providers, PLLC is 1417315185. It was assigned to this organization in the NPPES registry on February 9, 2016.

Where is Central Minnesota Anesthesia Providers, PLLC located?

Central Minnesota Anesthesia Providers, PLLC is located at 22415 State Highway 15, Saint Augusta, MN 56301. The listed phone number is (320) 492-6506.

What is Central Minnesota Anesthesia Providers, PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Central Minnesota Anesthesia Providers, PLLC enrolled in Medicare?

Yes. Central Minnesota Anesthesia Providers, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Minnesota Anesthesia Providers, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Central Minnesota Anesthesia Providers, PLLC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (9) and Anesthesiology (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Minnesota Anesthesia Providers, PLLC was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.