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

Central Minnesota Anesthesia Providers, PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1417315185

Central Minnesota Anesthesia Providers, PLLC is a Pain Medicine (Anesthesiology) Physician in Saint Augusta, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

22415 State Highway 15
Saint Augusta, MN 56301-9207
Phone: (320) 492-6506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 38209 (MN)

Record details

NPI number1417315185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Jandik — Owner · (320) 492-6506
NPI enumeratedFebruary 9, 2016
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing addressPo Box 7185, Saint Cloud, MN 56302-7185