Individual provider

Amy Tollefson, CRNA

Registered Nurse Certified Registered Nurse Anesthetist Medicare enrolled

Amy Tollefson, CRNA is a Registered Nurse in St Louis Park, MN, registered under NPI 1174710305. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 6465 WAYZATA BLVD STE 210, St Louis Park, MN 55426. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6465 WAYZATA BLVD STE 210, St Louis Park, MN 55426 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
R153996-5 MN Registered Nurse primary
078527 MN Certified Registered Nurse Anesthetist

This provider holds licence R153996-5 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Certified Registered Nurse Anesthetist (crna)
PAC ID
0840375283
Enrollment ID
I20080311000064

Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Registered Nurse Anesthetist (crna). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Registered Nurse covers

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. NUCC Health Care Provider Taxonomy, code 163W00000X
Nursing Service Providers Registered Nurse

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
163W00000X Registered Nurse R153996-5 MN primary
367500000X Certified Registered Nurse Anesthetist 078527 MN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1174710305 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 2, 2007
Last updatedAug 8, 2014
StatusActive
Sole proprietorNo
CredentialCRNA
Practice address 6465 WAYZATA BLVD
STE 210
St Louis Park, MN 55426
(952) 993-7169
Fax (952) 993-0300
This record was last updated on Aug 8, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1174710305 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 7 1 0 3 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 5 1 0 3 0

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174710305?
NPI 1174710305 is the National Provider Identifier assigned to Amy Tollefson, CRNA in St Louis Park, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Registered Nurse cover?
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by…
How do I contact Amy Tollefson, CRNA?
The phone number on file with NPPES is (952) 993-7169, last updated Aug 8, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Amy Tollefson, CRNA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174710305 a valid number?
Yes. 1174710305 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.