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

Individual provider Certified Registered Nurse Anesthetist · NPI 1609836949

Stacy Jo Hanson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Minneapolis, Minnesota. Qualified in 2004, 22 years ago. Practices with Mngi Digestive Health PA, a 277-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2006
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

800 E 28th St
Minneapolis, MN 55407-3723
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 R 130618-5 (MN)

Record details

NPI number1609836949
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2545 Chicago Ave, Minneapolis, MN 55404-4522

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mngi Digestive Health Pa — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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