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

Edward William Mitzelfelt, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1790399343

Edward William Mitzelfelt, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in San Jose, California. Qualified in 2020, 6 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
6
Licensed in
CA, IL
In the registry since
2020
Specialties on file
2
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

250 Hospital Pkwy
San Jose, CA 95119-1103
Phone: (408) 972-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3333 N Seminary St, Galesburg, IL 61401-1251 — (309) 344-3161

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001420 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209.021446 (IL)

Record details

NPI number1790399343
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 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 Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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