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

TATUM LYNN PRIMEAU DNP, CRNA
NPI 1891577904
Nurse Anesthetist, Certified Registered in Wyoming, MN

Q: What is Tatum Primeau's NPI number?

The NPI number for Tatum Primeau is 1891577904. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Q: What is Tatum Primeau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tatum Primeau was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since October 16, 2023PECOS Enrolled

5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 464-4611 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 16, 2026, Oct 16, 2023 (2 updates tracked since 2023).

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About Tatum Lynn Primeau Dnp, Crna NPPES

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

TATUM LYNN PRIMEAU DNP, CRNA (NPI 1891577904) is an individual nurse anesthetist, certified registered in Wyoming, Minnesota, licensed in Minnesota (3170) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891577904

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameTATUM LYNN PRIMEAUCredential: DNP, CRNA

Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013

Mailing Address1022 17th Ave SeForest Lake, MN 55025-2072 · (218) 929-7656

Phone(651) 464-4611

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 16, 2023

Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ NPI 1891577904 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 · 3170

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.

5200 FAIRVIEW BLVD, Wyoming, MN 55092

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatum Lynn Primeau Dnp, Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587166467

PECOS Enrollment IDI20250909001082

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 Reassignment

Medicare enrollment records show Tatum Primeau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Metro Anesthesia Services P.A.

Same address

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

NPI 1457339780 (651) 464-4611

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.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55092 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.

LINDA KOEHLER

Rehabilitation Practitioner