SAMUEL S WIOREK CRNA
NPI 1902475197
Nurse Anesthetist, Certified Registered in Plymouth, MN
About Samuel S Wiorek Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL S WIOREK CRNA (NPI 1902475197) is an individual nurse anesthetist, certified registered in Plymouth, Minnesota, licensed in Wisconsin (243663-30) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2021).
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 and accepts Medicare assignment
Samuel S Wiorek 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.
Medicare Billing Reassignments
8Medicare enrollment records show Samuel Wiorek reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Maple Grove, MN 55311
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Robbinsdale, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 246 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 16 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 226 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Memorial Health Hospital
Acute Care Hospitals · Robbinsdale, MNM Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55447 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
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 Samuel Wiorek's NPI number?
The NPI number for Samuel Wiorek is 1902475197. It was assigned to this individual provider in the NPPES registry on June 22, 2021.
Where is Samuel Wiorek located?
Samuel Wiorek practices at 14700 28th Ave N Ste 20, Plymouth, MN 55447. The listed phone number is (763) 559-3779.
What is Samuel Wiorek's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Samuel Wiorek enrolled in Medicare?
Yes. Samuel Wiorek 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 Samuel Wiorek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wiorek reassigns Medicare benefits to 8 organizations: Metropolitan Anesthesia Network, LLP (Plymouth, MN), Fairview Clinics (Maple Grove, MN), Anesthesiology, P.A. (Robbinsdale, MN), Anesthesia Associates, PLLC (Maple Grove, MN), Fairview Maple Grove Surgery Center, LLC (Maple Grove, MN) and 3 more organizations, listed in the Medicare section above. 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 Samuel Wiorek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samuel Wiorek affiliated with any hospitals?
According to CMS data, Samuel Wiorek is affiliated with North Memorial Health Hospital, M Health Fairview Southdale Hospital and M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Wiorek was last updated on February 15, 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.
# Samuel S Wiorek, CRNA · NPI 1902475197
Nurse Anesthetist, Certified Registered physician in Plymouth, Minnesota. Individual provider, active in the CMS NPPES registry since June 22, 2021.
## Identity
- **NPI:** 1902475197 (Entity type: Individual)
- **Enumerated:** June 22, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 243663-30 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 14700 28TH AVE N STE 20, Plymouth, MN 55447-4876
- **Phone:** (763) 559-3779 · **Fax:** (763) 450-3986
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); Fairview Clinics (NPI 1790977486, Maple Grove, MN); Anesthesiology, P.A. (NPI 1013960798, Robbinsdale, MN); Anesthesia Associates, PLLC (NPI 1104176205, Maple Grove, MN); Fairview Maple Grove Surgery Center, LLC (NPI 1730068032, Maple Grove, MN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1902475197) · Data from the CMS NPPES public registry.