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

Individual provider Certified Registered Nurse Anesthetist · NPI 1841019346

Jeremy Derrell Leavell, DNPAPRNCRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Paul, Minnesota. Qualified in 2024, 2 years ago. Practices with Regions Hospital, a 219-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2595
Phone: (651) 254-6512
Fax: (651) 254-3048
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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 · Licence 3041 (MN)

Record details

NPI number1841019346
Entity typeIndividual (Type 1)
GenderMale
Credentials DNPAPRNCRNA
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Regions Hospital — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Paul