Individual provider Active NPI

Matthew Edward Mogensen, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Peter, MN
National Provider Identifier
1467877977
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0044 Issued in MN
Practice address
1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone
(507) 931-2200
NPI assigned
Feb 20, 2014
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R 180076-2 MN
Certified Registered Nurse Anesthetist 367500000X 0044 MN Primary

Addresses

Primary practice location

1900 Sunrise Dr
Saint Peter, MN 56082-5376

Mailing address

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone (507) 931-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140428000439 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850524828 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Mayo Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River's Edge Hospital and ClinicGroup PAC ID 7214849397, 27 clinicians

Practice addresses (Care Compare)

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone 5079312200605

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0044MNMDCertified Registered Nurse Anesthetist
R 180076-2MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
River's Edge Hospital & Clinic CurrentSince Aug 1, 2016 Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Mankato Surgical Center, L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2018 Accepting new patients

Locations

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

1411 Premier Dr
Mankato, MN 56001
Phone (507) 388-6000

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

Organizations & group practices 3

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 1

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": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1467877977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SUNRISE DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825376",
            "telephone_number": "507-931-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUNRISE DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825376",
            "telephone_number": "507-931-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGENSEN",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-20",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R 180076-2",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "0044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.