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

Matthew P Koedam, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164662946

Matthew P Koedam, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Rochester, Minnesota. Qualified in 2020, 6 years ago. Practices with Mayo Clinic, a 4,796-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
6
Licensed in
MN, WI
In the registry since
2009
Specialties on file
3
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

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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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 R 161849-4 (MN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 153 (MN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 263035 (WI)

Record details

NPI number1164662946
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 6, 2009
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mayo Clinic — 4796 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 patients22
Services billed 30 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

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.

Colleagues at Mayo Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 4796 clinicians in the practice; 12 are shown here.

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