Individual provider Active NPI

Andrew C Johnson-Cowley, CRNA

  • Certified Registered Nurse Anesthetist
  • Edina, MN
National Provider Identifier
1255388377
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R1366235 Issued in MN
Practice address
6429 Josephine Ave
Edina, MN 55439-1422
Phone
(952) 913-5368
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R1366235 MN Primary

Addresses

Primary practice location

6429 Josephine Ave
Edina, MN 55439-1422

Mailing address

6429 Josephine Ave
Edina, MN 55439-1422
Phone (952) 913-5368

Other identifiers 1

IdentifierTypeStateIssuer
183400200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041019000152 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052371598 Reassigns benefits to 6 organizations
I20250828004750 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052371598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Anesthesia Network LLPGroup PAC ID 5698689123, 516 clinicians
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

3000 Hundertmark Rd
Suite 200
Chaska, MN 55318-1152
Phone (952) 479-6304

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R1366235MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southdale Anesthesiologists, LLC CurrentSince May 1, 2023 Accepting new patients
Metropolitan Anesthesia Network, LLP Nurse Anesthetist, Certified Registered CurrentSince May 22, 2023 Accepting new patients
Certified Anesthesia Care, Co. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Ridgeview Medical Center CurrentSince May 1, 2020 Accepting new patients
Twin Cities Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2017 Accepting new patients
Ridgeview Medical Center CurrentSince May 1, 2020 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Aug 1, 2025 Accepting new patients
Ridgeview Medical Center Nurse Anesthetist, Certified Registered Current Accepting new patients
University Anesthesia Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2020 Accepting new patients

Locations

9801 DuPont Ave S
Ste 100
Bloomington, MN 55431

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

3000 Hundertmark Rd
Ste 200
Chaska, MN 55318
Phone (952) 479-6304

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

4010 W 65th St
Minneapolis, MN 55435
Phone (952) 456-7000

8100 W 78th St
Ste 220
Minneapolis, MN 55439
Phone (952) 914-8400

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

10709 Wayzata Blvd
Ste 100
Minnetonka, MN 55305
Phone (763) 553-1142

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

400 10th St E
Waconia, MN 55387

155 Radio Dr
Woodbury, MN 55125
Phone (952) 883-6212

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1255388377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 JOSEPHINE AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391422",
            "telephone_number": "952-913-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 JOSEPHINE AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391422",
            "telephone_number": "952-913-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-COWLEY",
        "first_name": "ANDREW",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1366235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183400200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.

Verify at the official NPI Registry.