Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN CHRISTOPHER WICKLAND CRNA
NPI 1891070959
Nurse Anesthetist, Certified Registered in Saint Paul, MN

Active since October 19, 2011PECOS Enrolled
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, Apr 19, 2024 (2 updates tracked since 2024).

About John Christopher Wickland Crna NPPES

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

JOHN CHRISTOPHER WICKLAND CRNA (NPI 1891070959) is an individual nurse anesthetist, certified registered in Saint Paul, Minnesota, licensed in Minnesota (1694) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1891070959
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJOHN CHRISTOPHER WICKLANDCredential: CRNA
Location Address640 JACKSON STSaint Paul, MN 55101-2595
Mailing Address8170 33rd Ave S, Mailstop 21110qBloomington, MN 55425-4516 · (952) 883-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 19, 2011
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1891070959 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 · 1694
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 1704868 (MN)
640 JACKSON ST, Saint Paul, MN 55101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Christopher Wickland Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567705965
PECOS Enrollment IDI20190529001384
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

5

Medicare enrollment records show John Wickland reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Emergency Medicine
640 JACKSON ST
Saint Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • 393 clinicians in this Medicare group
Multi-Specialty
345 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINICS STPL
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
5200 FAIRVIEW BLVD
Wyoming, MN 55092
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: North Metro Anesthesia Services PA
  • 34 clinicians in this Medicare group
Rural Health
27278 STATE HIGHWAY 18
Garrison, MN 56450
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1942277835 (Minnesota)
  • 164 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 2

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

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

Riverwood Healthcare Center

Critical Access Hospitals · Aitkin, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241305
Location200 Bunker Hill DriveAitkin, MN 56431 · Aitkin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 John Wickland's NPI number?

The NPI number for John Wickland is 1891070959. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is John Wickland located?

John Wickland practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is John Wickland's specialty?

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

Is John Wickland enrolled in Medicare?

Yes. John Wickland is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Wickland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Wickland reassigns Medicare benefits to 5 organizations: Regions Hospital (Saint Paul, MN), Childrens Health Care (St Paul, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN), North Metro Anesthesia Services P.A. (Wyoming, MN) and Aitkin Community Hospital, Inc. (Garrison, 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 John Wickland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Wickland affiliated with any hospitals?

According to CMS data, John Wickland is affiliated with Fairview Lakes Health Services and Riverwood Healthcare Center.

When was this NPI record last updated?

The NPPES record for John Wickland was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.