Timothy Peter Klemmetsen, CRNA
Nurse Anesthetist, Certified Registered in Brainerd, MN. Individual provider (NPI-1).
NPI number1609929827
StatusActive
Last updated in NPPESJan 8, 2016
Details
- NPI
- 1609929827
- Entity type
- Individual (NPI-1)
- Name
- Timothy Peter Klemmetsen
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2007
- Last updated
- Jan 8, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0872704 | MN | Yes |
Practice location
523 N 3rd StBrainerd, MN 56401-3054
Phone 218-829-2861
Mailing address
523 N 3rd StBrainerd, MN 56401-3054
Phone 218-829-2861
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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