Trevor Ryan Goldsmith, DNP
Individual provider Active NPI Certified Registered Nurse Anesthetist · Wyoming, MN
NPI 1225635345 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1225635345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2523 (MN)
- Practice address
- 5200 Fairview Blvd
Wyoming, MN 55092-8013 - Phone
- (651) 464-4611
- NPI assigned
- Oct 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- North Metro Anesthesia Services PA
Practice addresses (Care Compare)
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 464-4611
Hospital & facility affiliations
- Fairview Lakes Health Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201113002378 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6709296171 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| North Metro Anesthesia Services P.a. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
400 10th St E
Waconia, MN 55387
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2523 | MN | Yes |
Addresses
Primary practice location
5200 Fairview Blvd
Wyoming, MN 55092-8013
Mailing address
6648 Red Birch CT
Lino Lakes, MN 55014-1337
Phone (715) 829-1360
Other providers in Wyoming, MN
- Jaime Evan Glader
- Melissa Lynn Gleaves
- Elizabeth Glenna
- Erica Gloppen
- Brianna Marie Glynn
- Maria Marcella Gozzi Benson
- Graceful Living, LLC
- Rebecca Lynne Gray
- Fallon Hagy
- Nicole Lynn Hahn
All providers in Wyoming, 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 May 7, 2025. 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.