Sophia Alexandra Erdahl

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2879 Issued in MN

Practice address

15380 Cottonwood St NW
Andover, MN 55304-8503

Phone

(612) 990-0883

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

University Anesthesia Providers LLCGroup PAC ID 7315986064, 325 clinicians

North Metro Anesthesia Services PAGroup PAC ID 0648244152, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Metro Anesthesia Services P.a.

  • Certified Registered Nurse Anesthetist
  • Wyoming, MN
  • NPI 1457339780

  MN, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• University Anesthesia Providers, LLC

  • Anesthesiology Physician
  • Minneapolis, MN
  • NPI 1699711143

  MN, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD

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

• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359

  Hospital

  Care Compare affiliation
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1316008212

  Hospital

  Care Compare affiliation
• Fairview Health Services

  • Skilled Nursing Facility
  • Minneapolis, MN
  • NPI 1669459913

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1700490679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15380 COTTONWOOD ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553048503",
            "telephone_number": "612-990-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15380 COTTONWOOD ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553048503",
            "telephone_number": "612-990-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDAHL",
        "first_name": "SOPHIA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "2879",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2225511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole L Dufour, L.I.C.S.W.
• Haley Dugan, OTR
• Jaya Durvasula
• Anna Ellis, MA, LADC, LPCC
• Laura Ann Ellos, M.A., CCC-SLP
• Brittany Erickson
• Kayla Erickson, OTR/L
• Essentials of Life Chiropractic
• Essentials of Life Chiropractic, LTD
• Morgan Evitts, MOTR/L

• All providers in Andover, MN
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.