MITCHELL ODEAN TOLLEFSON CRNA NPI 1184393381

NPI Information

  • NPI: 1184393381
  • Provider Name: MITCHELL ODEAN TOLLEFSON, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 3701 12TH ST N STE 202
    SAINT CLOUD, MN
    ZIP 56303
  • Phone: (320) 258-3090

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NPI Details

Mitchell Odean Tollefson, CRNA is a nurse anesthetist certified registered in Saint Cloud, MN with 4 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Mitchell Odean Tollefson, CRNA NPI is 1184393381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3701 12TH ST N STE 202
SAINT CLOUD, MN
ZIP 56303-253
Phone: (320) 258-3090
Fax: (320) 258-3090

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for electroshock therapy (HCPCS:00104)

The enumeration date for this NPI number is 9/10/2021 and was last updated on 10/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse2458031MINNESOTANo
2367500000XNurse Anesthetist, Certified Registered2613MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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