Matthew Koedam, CRNA
NPI 1164662946 · Certified Registered Nurse Anesthetist · Rochester, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Koedam, CRNA is a Certified Registered Nurse Anesthetist provider in Rochester, MN (NPI 1164662946).
Provider details
- NPI number
- 1164662946
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 153 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-03-06
- Last updated
- 2021-10-25
- Certified
- 2021-10-25
Frequently asked questions
- What is Matthew Koedam's NPI number?
- Matthew Koedam's National Provider Identifier (NPI) is 1164662946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Koedam's specialty?
- Matthew Koedam is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Matthew Koedam located?
- Matthew Koedam's practice location on file with NPPES is 200 1st St Sw, Rochester, MN 55905-0001.
- What is Matthew Koedam's phone number?
- The practice phone number listed in the NPPES registry for Matthew Koedam is (507) 284-2511.
- Does Matthew Koedam accept Medicare?
- Matthew Koedam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Koedam's NPI active?
- Yes — Matthew Koedam's NPI (1164662946) is active in the NPPES registry as of the last update on 2021-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.