Dean Steven Anderson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Faribault, MN
NPI 1023085339 · NPPES record last updated Jul 17, 2015
Key facts
- NPI
- 1023085339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R-128914-7 (MN)
- Practice address
- 200 State Ave
Faribault, MN 55021-6339 - Phone
- (507) 330-0582
- NPI assigned
- Mar 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northfield Hospital
Practice addresses (Care Compare)
1980 30TH St NW
Faribault, MN 55021-1846
Phone (507) 333-5499
2000 N a Ve
Northfieldm, MN 55057-1498
2000 N Ave
Northfield, MN 55057-1498
Phone (507) 646-1478
4645 Knutsen Dr
Farmington, MN 55024-8455
Phone (651) 460-2300
9974 214TH St W
Lakeville, MN 55044-1913
Phone (952) 469-0500
Hospital & facility affiliations
- Northfield Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060503000014 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0244240422 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190 | MN | MD | Mental Health Counselor |
| R-128914-7 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northfield Hospital | Current |
Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Allina Health System | Past | Accepting new patients |
Locations
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
Interoperability endpoints
- dean.anderson.p4@direct.tcpain.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R-128914-7 | MN | Yes |
Addresses
Primary practice location
200 State Ave
Faribault, MN 55021-6339
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443920100 | Medicaid | MN |
Other providers in Faribault, MN
- Allina Health System
- Allina Health System
- Marisa A Amacher
- Barbara Anderson
- Cindy Anderson
- Jesse Michael Anderson
- Madeline Michelle Anderson
- Samira B Anderson
- Toby James John Anderson
- Krista Andros
All providers in Faribault, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.