Jeffrey R Johannsen is a Detroit Lakes, Minnesota based nurse anesthetist with 23 years of experience as Anesthesia Administration. He completed he graduation in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jeffrey R Johannsen is R141280-4 for Anesthesia Administration in Minnesota. his current practice location is 1027 Washington Ave, Detroit Lakes. Patients can reach him at 218-847-5611 or can fax him at 218-847-0881. Jeffrey R Johannsen is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1730125816.
Jeffrey R Johannsen is a certified 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.
Complete Profile:
Jeffrey R Johannsen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Experience: | 23+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2002 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1027 Washington Ave, Detroit Lakes,
Minnesota, 56501-3409 |
| Phone: | 218-847-5611 |
| Fax: | 218-847-0881 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7416853981 |
| Enrollment ID: | I20031208000578 |
| NPI Number: | 1730125816 |
| NPI Enumeration Date: | 20 Jun, 2006 |
| NPI Last Update On: | 19 Jul, 2012 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey R Johannsen are as mentioned below.
| License Number | Specialization | State | Status | |
| R141280-4 | Anesthesia Administration | Minnesota | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Essentia Health St Marys - Detroit Lakes (240101) | Detroit lakes, MN | Acute Care Hospital |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jeffrey R Johannsen has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| St Marys Regional Health Center (2062326820) | 146 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffrey R Johannsen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 033G2JO | Other | Minnesota | MNBS # |
| 1697627 | Other | Minnesota | AMERICA'S PPO/ARAZ # |
| 1730125816 | Medicaid | Minnesota | |
| 23758 | Other | Minnesota | NDBS # |
| DA9031034432 | Other | Minnesota | PREFERRED ONE # |
| 12694 | Medicaid | Minnesota | |
| 2001891 | Other | Minnesota | MEDICA # |
| 24174 | Other | Minnesota | LHS/BANNERHEALTH # |
| HP38479 | Other | Minnesota | HEALTHPARTNERS # |
| 150582300 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1027 Washington Ave,
Detroit Lakes, Minnesota |
| Zip: | 56501-3409 |
| Phone Number: | 218-847-5611 |
| Fax Number: | 218-847-0881 |
Patients can reach Jeffrey R Johannsen at
1027 Washington Ave, Detroit Lakes, Minnesota or can
call to book an appointment on 218-847-5611.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.