Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jeffrey R Johannsen, CRNA

Certified Registered Nurse Anesthetist in Detroit Lakes, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730125816

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Registry record

Entity type Individual (Type 1)

Name Jeffrey R Johannsen

Credential CRNA

Sex Male

Practice address 1027 Washington Ave, Detroit Lakes, MN, 56501

Phone (218) 847-5611

Fax (218) 847-0881

Enumeration date Jun 20, 2006

Last updated in NPPES Jul 19, 2012

Taxonomy & licenses

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License R141280-4 (MN) Primary

CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

Other identifiers

Identifier	Type	State	Issuer
033G2JO	Other	MN	MNBS #
1697627	Other	MN	AMERICA'S PPO/ARAZ #
1730125816	Medicaid	MN	-
23758	Other	MN	NDBS #
DA9031034432	Other	MN	PREFERRED ONE #
12694	Medicaid	MN	-
2001891	Other	MN	MEDICA #
24174	Other	MN	LHS/BANNERHEALTH #
HP38479	Other	MN	HEALTHPARTNERS #
150582300	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jeffrey Johannsen?

The National Provider Identifier (NPI) for Jeffrey Johannsen is 1730125816, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jeffrey Johannsen practice?

The practice location on file with NPPES is in Detroit Lakes, MN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-19.