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

Park Nicollet Methodist Hospital

Organization Anesthesiology Physician · NPI 1083622047

Park Nicollet Methodist Hospital is an Anesthesiology Physician in St Louis Park, Minnesota. Medicare rates this hospital 3 out of 5. Registered with an NPI since 2006.

CMS rating
3 of 5
In the registry since
2006
Specialties on file
2
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CMS quality rating

3 out of 5 — official hospital rating from CMS Care Compare (CCN 240053)

Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426
Phone: (952) 993-5000
Fax: (952) 993-1980
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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
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1083622047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Luhrs — Vp Finance · (952) 883-7158
Other names Park Nicollet Methodist Hospital Crnas; Park Nicollet Methodist Hospital Crnas
NPI enumeratedAugust 4, 2006
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address14700 28th Ave N, Suite 20, Plymouth, MN 55447

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