Individual provider Active NPI

Eric Joseph Theisen, RN

  • Certified Registered Nurse Anesthetist
  • Saint Cloud, MN
National Provider Identifier
1851168165
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2920 Issued in MN
Practice address
1526 Northway Dr
Saint Cloud, MN 56303-1224
Phone
(800) 349-7272
NPI assigned
Dec 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 2920 MN Primary

Addresses

Primary practice location

1526 Northway Dr
Saint Cloud, MN 56303-1224

Mailing address

1526 Northway Dr
Saint Cloud, MN 56303-1224
Phone (800) 349-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412000921 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810336690 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2920MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Cloud Outpatient Surgery LTD CurrentSince Jan 8, 2024 Accepting new patients
St Cloud Outpatient Surgery LTD Single Specialty CurrentSince Jan 8, 2024 Accepting new patients
Certified Anesthesia Care, Co. Single Specialty CurrentSince Jan 1, 2026 Accepting new patients

Locations

9801 DuPont Ave S
Ste 100
Bloomington, MN 55431

1526 Northway Dr
Saint Cloud, MN 56303
Phone (320) 251-8385

400 10th St E
Waconia, MN 55387

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1851168165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 NORTHWAY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031224",
            "telephone_number": "800-349-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 NORTHWAY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031224",
            "telephone_number": "800-349-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISEN",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "2920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.