SOPHIA ALEXANDRA ERDAHL
NPI 1700490679
Nurse Anesthetist, Certified Registered in Andover, MN
About Sophia Alexandra Erdahl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA ALEXANDRA ERDAHL (NPI 1700490679) is an individual nurse anesthetist, certified registered in Andover, Minnesota, licensed in Minnesota (2879) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sophia Alexandra Erdahl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Sophia Erdahl 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
Wyoming, MN 55092
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: North Metro Anesthesia Services PA
- 34 clinicians in this Medicare group
Wyoming, MN 55092
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Sophia Erdahl's NPI number?
The NPI number for Sophia Erdahl is 1700490679. It was assigned to this individual provider in the NPPES registry on September 8, 2020.
Where is Sophia Erdahl located?
Sophia Erdahl practices at 15380 Cottonwood St NW, Andover, MN 55304. The listed phone number is (612) 990-0883.
What is Sophia Erdahl's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Sophia Erdahl enrolled in Medicare?
Yes. Sophia Erdahl is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sophia Erdahl's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Erdahl reassigns Medicare benefits to 5 organizations: Fairview Maple Grove Surgery Center, LLC (Maple Grove, MN), North Metro Anesthesia Services P.A. (Wyoming, MN), Fairview Health Services (Wyoming, MN), Healtheast St. John's Hospital (Maplewood, MN) and University Anesthesia Providers, LLC (Minneapolis, 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 Sophia Erdahl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sophia Erdahl affiliated with any hospitals?
According to CMS data, Sophia Erdahl is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Sophia Erdahl was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sophia Alexandra Erdahl · NPI 1700490679
Nurse Anesthetist, Certified Registered physician in Andover, Minnesota. Individual provider, active in the CMS NPPES registry since September 8, 2020.
## Identity
- **NPI:** 1700490679 (Entity type: Individual)
- **Enumerated:** September 8, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2879 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 15380 COTTONWOOD ST NW, Andover, MN 55304-8503
- **Phone:** (612) 990-0883
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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); North Metro Anesthesia Services P.A. (NPI 1457339780, Wyoming, MN); Fairview Health Services (NPI 1083692941, Wyoming, MN); Healtheast St. John's Hospital (NPI 1447218482, Maplewood, MN); University Anesthesia Providers, LLC (NPI 1699711143, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700490679) · Data from the CMS NPPES public registry.