Individual provider Active NPI

Neil J Anderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Duluth, MN
National Provider Identifier
1912958034
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R1579802 Issued in MN
Practice address
915 E 1St St
Duluth, MN 55805-2107
Phone
(218) 249-5555
NPI assigned
May 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 Anesthetist 367500000X R1579802 MN Primary

Addresses

Primary practice location

915 E 1St St
Duluth, MN 55805-2107

Mailing address

528 Marina Dr
Superior, WI 54880-3200
Phone (715) 392-4741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031218000960 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163329806 Reassigns benefits to 4 organizations
I20060607000289 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163329806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolverine Anesthesia LLCGroup PAC ID 2062478431, 3 clinicians

Practice addresses (Care Compare)

1420 London Rd
Suite 100
Duluth, MN 55805-2437
Phone (218) 728-8548

823 Belknap St
Suite 106
Superior, WI 54880-2974
Phone (218) 310-4418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1579802MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolverine Anesthesia, LLC CurrentSince Apr 1, 2024 Accepting new patients
Memorial Medical Center Inc CurrentSince Jan 1, 2026 Accepting new patients
Superior Pain Management SC CurrentSince Mar 28, 2025 Accepting new patients
Midwest Anesthesia Care, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Memorial Medical Center Inc CurrentSince Jan 1, 2026 Accepting new patients
North Shore Anesthesia P.a Nurse Anesthetist, Certified Registered CurrentSince Feb 9, 2006 Accepting new patients
St. Luke's Hospital of Duluth Nurse Anesthetist, Certified Registered PastSince Aug 27, 2012 Accepting new patients

Locations

1601 Highway 13 E
Ste 110
Burnsville, MN 55337
Phone (952) 322-8532

1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650

2118 London Rd
Duluth, MN 55812
Phone (218) 481-7812

4316 Rice Lake Rd
Ste 104
Duluth, MN 55811
Phone (218) 514-0514

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

400 10th St E
Waconia, MN 55387

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

2200 Cedar Crest Dr
Ste B
Rice Lake, WI 54868
Phone (586) 864-6006

823 Belknap St
Ste 106
Superior, WI 54880
Phone (218) 310-4418

Organizations & group practices 7

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912958034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 MARINA DR",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548803200",
            "telephone_number": "715-392-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052107",
            "telephone_number": "218-249-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NEIL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1579802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.