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

Robert Joseph Simon, CRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124595913

Robert Joseph Simon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Edina, Minnesota. Qualified in 2018, 8 years ago. Practices with Southdale Anesthesiologists LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
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

6401 France Ave S
Edina, MN 55435-2199
Phone: (952) 924-5000
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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 2276 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MN)

Record details

NPI number1124595913
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 30, 2018
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address7395 130th St W, Apple Valley, MN 55124-9502

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southdale Anesthesiologists Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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