Individual provider Active NPI

Jerrica Lee Schelhorn, DNP CRNA

  • Certified Registered Nurse Anesthetist
  • St Louis Park, MN
National Provider Identifier
1538694047
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3069 Issued in MN
Practice address
6099 Wayzata Blvd Ste 300
St Louis Park, MN 55416-5538
Phone
(952) 832-9360
NPI assigned
Apr 23, 2017
Last updated
Apr 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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 3069 MN Primary
Registered Nurse 163W00000X 213869-5 MN

Addresses

Primary practice location

6099 Wayzata Blvd Ste 300
St Louis Park, MN 55416-5538

Mailing address

7455 France Ave S
PMB 416
Edina, MN 55435-2302
Phone (612) 998-4883

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121000191 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264961242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Anesthesia Network LLPGroup PAC ID 5698689123, 516 clinicians

Practice addresses (Care Compare)

6099 Wayzata Blvd
Suite 300
St Louis Park, MN 55416-5538
Phone (612) 832-9360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3069MNMDChiropractor
213869-5MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Anesthesia Network, LLP Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Minnesota Anesthesia Specialists PLLC CurrentSince Mar 24, 2025 Accepting new patients
Southdale Specialty Surgery Center, LLC PastSince Sep 5, 2023 Accepting new patients

Locations

1447 White Oak Dr
Chaska, MN 55318
Phone (952) 368-3800

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

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

6500 Barrie Rd
Ste 300
Minneapolis, MN 55435
Phone (952) 368-3800

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

6099 Wayzata Blvd
Ste 300
St Louis Park, MN 55416
Phone (612) 832-9360

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.

NPI Registry JSON

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

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1538694047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 FRANCE AVE S",
            "address_2": "PMB 416",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352302",
            "telephone_number": "612-998-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 300",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-832-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELHORN",
        "first_name": "JERRICA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-23",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "3069",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "213869-5",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.