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

Individual provider Certified Registered Nurse Anesthetist · NPI 1093095283

Kacie Nicole Wottreng, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Minneapolis, Minnesota. Qualified in 2011, 15 years ago. Practices with St Josephs Medical Center, a 240-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2011
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

2828 Chicago Ave Ste 300
Minneapolis, MN 55407-1544
Phone: (612) 871-7639
Fax: (612) 872-0302
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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 R170181-6 (MN)

Record details

NPI number1093095283
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 19, 2011
Last updated in NPPESAugust 19, 2011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Josephs Medical Center — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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