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 10 March, 2025.