Matthew E Mogensen (NPI# 1467877977, PAC ID# 1850524828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1467877977 |
| PAC ID by PECOS | 1850524828 |
| Professional Enrollment ID | I20140428000439 |
| Full Name | Matthew E Mogensen |
| Organization Legal Name | AMS MAPLE GROVE LLC |
| Address |
13601 80th N Cir Suite 100 Maple Grove MN 55369-8906 |
| Phone Number | 6122195355 |
| Gender | M |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8527287762 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241334 | RIVER'S EDGE HOSPITAL & CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 13601 80th N Cir, Suite 100, Maple Grove, MN 55369-8906 | 6122195355 | AMS MAPLE GROVE LLC |
| Organization Legal Name | AMS MAPLE GROVE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter J Boosalis | Anesthesiology | Ams Maple Grove LLC | 1900 Sunrise Dr, Saint Peter, MN 56082-5376 |
| Laura Anne Werneke | Certified Registered Nurse Anesthetist (crna) | Ams Maple Grove LLC | 13601 80th N Cir, Suite 100, Maple Grove, MN 55369-8906 |
| Mark H Ereth | Anesthesiology | Ams Maple Grove LLC | 13601 80th N Cir, Suite 100, Maple Grove, MN 55369-8906 |
| Mark W Gujer | Anesthesiology | Ams Maple Grove LLC | 2020 E 28th St, Suite 100, Minneapolis, MN 55407-1453 |
| Linda S Lentz | Certified Registered Nurse Anesthetist | Ams Maple Grove LLC | 1447 White Oak Dr, Chaska, MN 55318-2525 |
| Street Address |
13601 80TH N CIR SUITE 100 |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-8906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody K Hargrove | Rheumatology | Arthritis and Rheumatology Consultants Pa | 13601 80th N Cir, Suite 200, Maple Grove, MN 55369-8999 |
| Jeffrey L Wilson | Rheumatology | Arthritis and Rheumatology Consultants Pa | 13601 80th N Cir, Suite 200, Maple Grove, MN 55369-8999 |
| Emily Pfeifer | Rheumatology | Arthritis and Rheumatology Consultants Pa | 13601 80th N Cir, Suite 200, Maple Grove, MN 55369-8999 |
| Vernon W Berglund | Rheumatology | Arthritis and Rheumatology Consultants Pa | 13601 80th N Cir, Suite 200, Maple Grove, MN 55369-8999 |
| Anne E Wolff | Rheumatology | Arthritis and Rheumatology Consultants Pa | 13601 80th N Cir, Suite 200, Maple Grove, MN 55369-8999 |
| Laura Anne Werneke | Certified Registered Nurse Anesthetist (crna) | Ams Maple Grove LLC | 13601 80th N Cir, Suite 100, Maple Grove, MN 55369-8906 |
| Archibald A Skemp | Rheumatology | Arthritis and Rheumatology Consultants Pa | 13601 80th N Cir, Suite 200, Maple Grove, MN 55369-8999 |
| Mark H Ereth | Anesthesiology | Ams Maple Grove LLC | 13601 80th N Cir, Suite 100, Maple Grove, MN 55369-8906 |
| Maren E Hilton | Rheumatology | Arthritis and Rheumatology Consultants Pa | 13601 80th N Cir, Suite 200, Maple Grove, MN 55369-8999 |
| Angela M Dahle | Rheumatology | Arthritis and Rheumatology Consultants Pa | 13601 80th N Cir, Suite 200, Maple Grove, MN 55369-8999 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MAPLE GROVE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Matthew E Mogensen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.