Mr William Matthew Nettekoven, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Saint Paul, MN

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Mr William Matthew Nettekoven, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Paul, Minnesota. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mayo Clinic Health System-northwest Wisconsin Region Inc, Anesthesiology, P.a. and his current practice location is 640 Jackson St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-3456.

Mr William Matthew Nettekoven is licensed to practice in Minnesota (license number 2174) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225545262.

Contact Information

Mr William Matthew Nettekoven, CRNA
640 Jackson St,
Saint Paul, MN 55101-2595
(651) 254-3456
Not Available

Map and Direction




Provider's Profile

Full NameMr William Matthew Nettekoven
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location640 Jackson St, Saint Paul, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr William Matthew Nettekoven graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1225545262
  • Provider Enumeration Date: 12/29/2017
  • Last Update Date: 09/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365703873
  • Enrollment ID: I20210401000637

Medical Identifiers

Medical identifiers for Mr William Matthew Nettekoven such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225545262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 222424-30 (Wisconsin)Secondary
367500000XNurse Anesthetist, Certified Registered 12322-33 (Wisconsin)Secondary
163W00000XRegistered Nurse 2117153 (Minnesota)Secondary
367500000XNurse Anesthetist, Certified Registered 2174 (Minnesota)Primary
367500000XNurse Anesthetist, Certified Registered 114118-23 (New Hampshire)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic Health System In Eau ClaireEau claire, WIHospital
North Memorial Health - Robbinsdale HospitalRobbinsdale, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic Health System-northwest Wisconsin Region Inc4385553627797
Anesthesiology, P.a.9335033034136

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. Mr William Matthew Nettekoven allows following entities to bill medicare on his behalf.
Entity NameLadd Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467560227
PECOS PAC ID: 9931092848
Enrollment ID: O20040204000998
Entity NameBaldwin Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467496133
PECOS PAC ID: 7911800586
Enrollment ID: O20040310000505
Entity NameWestfields Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1881640183
PECOS PAC ID: 2264490960
Enrollment ID: O20061104000432
Entity NameAmery Regional Medical Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20080314000485
Entity NameHudson Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1396849303
PECOS PAC ID: 0648183061
Enrollment ID: O20100127000013
Entity NameLadd Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1467560227
PECOS PAC ID: 9931092848
Enrollment ID: O20110126000171
Entity NameBaldwin Area Medical Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1467496133
PECOS PAC ID: 7911800586
Enrollment ID: O20111129000626
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235588831
PECOS PAC ID: 4385553627
Enrollment ID: O20161109002075

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. Mr William Matthew Nettekoven 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
Mr William Matthew Nettekoven, CRNA
8170 33rd Ave S, Mailstop 21110q,
Bloomington, MN 55425-4516

Ph: (952) 883-6000		Mr William Matthew Nettekoven, CRNA
640 Jackson St,
Saint Paul, MN 55101-2595

Ph: (651) 254-3456

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Saint Paul, MN

Melanie A Ferguson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 69 Exchange St W, Saint Paul, MN 55102
Phone: 651-735-0501    Fax: 651-735-1870
Molly Cubinski,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Saint Paul, MN 55101
Phone: 651-254-3456    
Dale H Mchugh, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 333 Smith Ave N, Saint Paul, MN 55102
Phone: 651-735-0501    Fax: 651-735-1870
Robert P Johnson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-3048
Diane K Voelker-huhn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-3048
Nicole R Thompson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 333 Smith Ave N, Saint Paul, MN 55102
Phone: 651-735-0501    Fax: 651-735-1870
Melanie L Mattingly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-3048

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.