BENJAMIN B EVENSON CRNA
NPI 1659328375
Nurse Anesthetist, Certified Registered in Detroit Lakes, MN

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 847-5611(218) 847-0881 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Benjamin B Evenson Crna NPPES

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

BENJAMIN B EVENSON CRNA (NPI 1659328375) is an individual nurse anesthetist, certified registered in Detroit Lakes, Minnesota, licensed in Minnesota (R161934-8) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1659328375
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBENJAMIN B EVENSONCredential: CRNA
Location Address1027 WASHINGTON AVEDetroit Lakes, MN 56501-3409
Mailing Address1027 Washington AveDetroit Lakes, MN 56501-3409 · (218) 847-5611 · Fax (218) 847-0881
Fax(218) 847-0881
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 28, 2006
Last NPPES UpdateJuly 16, 2012
✔ NPI 1659328375 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 · R161934-8
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.
1027 WASHINGTON AVE, Detroit Lakes, MN 56501

Other Identifiers 12

OtherDA9031025578FM · Preferred One #
Medicare ID-Type UnspecifiedP00103436MN · Rr Medicare #
Medicaid1659328375MN
Other363J3EVMN · Mnbs #
Medicare ID-Type Unspecified430004776MN · Mn Medicare #
Other23810MN · Lhs/bannerhealth #
Other2001730MN · Medica #
Other24215MN · Ndbs #
Medicare PIN430006212MN
Other1113912FM · America's Ppo/araz #
OtherHP38328MN · Healthpartners #
Medicaid973137700MN

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

Benjamin B Evenson 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 ID5991692147
PECOS Enrollment IDI20040302000755
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 Benjamin Evenson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medicare Defined Swing Bed Unit
1027 WASHINGTON AVE
Detroit Lakes, MN 56501
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: St Marys Regional Health Center
  • 254 clinicians in this Medicare group
Critical Access
115 W 2ND ST
Graceville, MN 56240
  • Reassigned Medicare billing, Minnesota enrollment
  • 36 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

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 exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56501 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.

Occupational Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Family Medicine
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Occupational Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Physician Assistant
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Nurse Practitioner (Family)
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Physical Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Physical Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Psychologist (Clinical)
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501

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 Benjamin Evenson's NPI number?

The NPI number for Benjamin Evenson is 1659328375. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Benjamin Evenson located?

Benjamin Evenson practices at 1027 Washington Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 847-5611.

What is Benjamin Evenson's specialty?

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

Is Benjamin Evenson enrolled in Medicare?

Yes. Benjamin Evenson 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 Benjamin Evenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Evenson reassigns Medicare benefits to 2 organizations: St Mary's Regional Health Center (Detroit Lakes, MN) and Graceville Health Center (Graceville, 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 Benjamin Evenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Benjamin Evenson affiliated with any hospitals?

According to CMS data, Benjamin Evenson is affiliated with Essentia Health St Marys - Detroit Lakes.

When was this NPI record last updated?

The NPPES record for Benjamin Evenson was last updated on July 16, 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.