Becca Sample, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Robbinsdale, MN

  1. Home
  2. Nurse Anesthetist - CR
  3. MN
  4. Robbinsdale
Becca Sample, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Robbinsdale, Minnesota. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Allina Health System, University Anesthesia Providers Llc and her current practice location is 3300 Oakdale Ave N, Robbinsdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 581-3980.

Becca Sample is licensed to practice in Minnesota (license number 2144) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538600440.

Contact Information

Becca Sample, CRNA
3300 Oakdale Ave N,
Robbinsdale, MN 55422-2926
(763) 581-3980
Not Available

Map and Direction




Provider's Profile

Full NameBecca Sample
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location3300 Oakdale Ave N, Robbinsdale, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Becca Sample graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1538600440
  • Provider Enumeration Date: 03/10/2017
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4284993619
  • Enrollment ID: I20180110003047

Medical Identifiers

Medical identifiers for Becca Sample such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538600440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 145927 (Iowa)Secondary
163W00000XRegistered Nurse 221732-30 (Wisconsin)Secondary
163WC0200XRegistered Nurse - Critical Care Medicine R 204475-0 (Minnesota)Secondary
207L00000XAnesthesiology 2044750 (Minnesota)Secondary
367500000XNurse Anesthetist, Certified Registered 2144 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Southdale HospitalEdina, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133584
University Anesthesia Providers Llc7315986064314

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Becca Sample allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameMetropolitan Anesthesia Network Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558314427
PECOS PAC ID: 5698689123
Enrollment ID: O20031118000579
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameFairview Bethesda Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameUniversity Anesthesia Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699711143
PECOS PAC ID: 7315986064
Enrollment ID: O20050502000881

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Becca Sample is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Becca Sample, CRNA
3300 Oakdale Ave N,
Robbinsdale, MN 55422-2926

Ph: (763) 581-3980		Becca Sample, CRNA
3300 Oakdale Ave N,
Robbinsdale, MN 55422-2926

Ph: (763) 581-3980

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Robbinsdale, MN

Tana Isaacson,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-1926    
Dana Lee Chippendale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5200    
Jonghwa Park,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-581-3980    Fax: 763-581-3591
Katherine Piehl, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5200    Fax: 763-257-8356
Carolyn Olson,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-1926    
Jeffrey Middendorf,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-1926    
Brian Geniesse,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.