Active NPI
William Matthew Nettekoven, CRNA
- Certified Registered Nurse Anesthetist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 114118-23
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-3456
- NPI assigned
- Dec 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 211715-3 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 114118-23 | NH | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 222424 | WI |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2502
Mailing address
1305 140TH Ave
New Richmond, WI 54017-6613
Phone (952) 836-9582
Other practice location 1
5 Alumni Dr
Exeter, NH 03833-2160
Phone (603) 778-7311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI, NH
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806
3300 N Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-5370
733 W Clairemont Ave
Eau Claire, WI 54701-6101
Phone (715) 838-5222
Hospital & facility affiliations
- Mayo Clinic Health System Eau Claire Hospital
- North Memorial Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211715-3 | MN | MD | Certified Registered Nurse Anesthetist |
| 114118-23 | NH | MD | Certified Registered Nurse Anesthetist |
| 222424 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Anesthesia Care Group PC | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center Inc. | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regions Hospital | Current | Accepting new patients |
Locations
9855 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-5800
9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Robbinsdale, MN
- NPI 1013960798
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1629074224
-
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
-
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
-
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Rehabilitation Clinic/Center
- Saint Paul, MN
- NPI 1134157092
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1629027578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1225545262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 140TH AVE",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540176613",
"telephone_number": "952-836-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-3456"
}
],
"practiceLocations": [
{
"address_1": "5 Alumni Dr",
"address_purpose": "LOCATION",
"city": "Exeter",
"state": "NH",
"postal_code": "038332160",
"country_code": "US",
"telephone_number": "603-778-7311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NETTEKOVEN",
"first_name": "WILLIAM",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-29",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "211715-3",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "114118-23",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "222424",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.