Individual provider Active NPI

Michael J Nelson, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Falls, MN
National Provider Identifier
1922074558
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R1637537 Issued in MN
Practice address
808 3Rd St SE
Suite 130
Little Falls, MN 56345-3557
Phone
(320) 632-5743
NPI assigned
Feb 24, 2006
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 R1637537 MN Primary

Addresses

Primary practice location

808 3Rd St SE
Suite 130
Little Falls, MN 56345-3557

Mailing address

808 3Rd St SE
Suite 130
Little Falls, MN 56345-3557
Phone (320) 632-5743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000691 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911981584 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R1637537MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Family Healthcare Current Accepting new patients
Certified Anesthesia Care, Co. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Unity Family Healthcare CurrentSince Nov 1, 2009 Accepting new patients
Unity Family Healthcare CurrentSince Nov 1, 2009 Accepting new patients
St. Cloud Hospital Past Accepting new patients
Little Falls Anesthesia P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

9801 DuPont Ave S
Ste 100
Bloomington, MN 55431

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

808 3rd St SE
Ste 130
Little Falls, MN 56345
Phone (320) 631-4381

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

400 10th St E
Waconia, MN 55387

Interoperability endpoints

  • Direct secure messaging: mnelson196311@direct.centracare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922074558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 3RD ST SE",
            "address_2": "SUITE 130",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453557",
            "telephone_number": "320-632-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 3RD ST SE",
            "address_2": "SUITE 130",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453557",
            "telephone_number": "320-632-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1637537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.