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

Mitchell Odean Tollefson, CRNA

Individual provider Registered Nurse · NPI 1184393381

Mitchell Odean Tollefson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Cloud, Minnesota. Qualified in 2021, 5 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
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

3701 12th St N Ste 202
Saint Cloud, MN 56303-2253
Phone: (320) 258-3090
Fax: (320) 258-3090
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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 2613 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2458031 (MN)

Record details

NPI number1184393381
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address3701 12th St N Ste 202, Saint Cloud, MN 56303-2253

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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