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

Nicole Theisen, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164854188

Nicole Theisen, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Prior Lake, Minnesota. Qualified in 2013, 13 years ago. Practices with Minnesota Anesthesia Specialists PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2013
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

3199 Timberwolf Cir NW
Prior Lake, MN 55372-3271
Phone: (612) 860-6602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R1718621 (MN)

Record details

NPI number1164854188
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 1, 2013
Last updated in NPPESJanuary 29, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Minnesota Anesthesia Specialists Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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