Active NPI
Daniel M Pogatchnik, CRNA
- Certified Registered Nurse Anesthetist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1444
- Practice address
- 333 Smith Ave N
Saint Paul, MN 55102-2344 - Phone
- (651) 735-0501
- Fax
- (651) 735-1870
- NPI assigned
- Sep 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1212460 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 1444 | MN | Primary |
Addresses
Primary practice location
333 Smith Ave N
Saint Paul, MN 55102-2344
Mailing address
8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Other practice location 1
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108440200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Radio Dr
Woodbury, MN 55125-2619
Phone (952) 831-8742
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6786
Hospital & facility affiliations
- M Health Fairview Woodwinds Hospital
- Allina United Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1444 | MN | MD | Acupuncturist |
| R1212460 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Twin Cities Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tria Orthopaedic Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tria Orthopaedic Center LLC | Current | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
2020 E 28th St
Ste 100
Minneapolis, MN 55407
Phone (612) 455-0612
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
155 Radio Dr
Woodbury, MN 55125
Phone (952) 883-6212
Organizations & group practices 5
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
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Paul, MN
- NPI 1982125456
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Minneapolis, MN
- NPI 1053483503
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1386740272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SMITH AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022344",
"telephone_number": "651-735-0501",
"fax_number": "651-735-1870"
}
],
"practiceLocations": [
{
"address_1": "6500 Excelsior Blvd",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "554264702",
"country_code": "US",
"telephone_number": "952-993-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POGATCHNIK",
"first_name": "DANIEL",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1212460",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "1444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108440200",
"state": "MN"
}
],
"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 Mar 11, 2021; 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.