Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey R Johannsen, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1730125816

Jeffrey R Johannsen, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Detroit Lakes, Minnesota. Qualified in 2002, 24 years ago. Practices with St Marys Regional Health Center, a 188-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1027 Washington Ave
Detroit Lakes, MN 56501-3409 Not confirmed with CMS for 14 years — call before visiting
Phone: (218) 847-5611
Fax: (218) 847-0881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R141280-4 (MN)

Record details

NPI number1730125816
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESJuly 19, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice St Marys Regional Health Center — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients110
Services billed 127 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Essentia Health St Marys - Detroit Lakes Hospital · Detroit Lakes, MN

Colleagues at St Marys Regional Health Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 188 clinicians in the practice; 12 are shown here.

Other providers in Detroit Lakes