Samuel Patrick Otis, CRNA
NPI 1619452075 · Certified Registered Nurse Anesthetist · St Louis Park, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Patrick Otis, CRNA is a Certified Registered Nurse Anesthetist provider in St Louis Park, MN (NPI 1619452075).
Provider details
- NPI number
- 1619452075
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 2287 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
191 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Other Procedure on Skin, Muscles, Or Nerves of Head, Neck, and Upper Back00300 | 61 | $207 |
| Anesthesia for Nerve Modulation Procedure Spinal Cord Or Repair of Bone of Spine of Neck Or Upper Back Accessed Through Skin Using Imaging Guidance01941 | 34 | $152 |
| Anesthesia for Nerve Block and Injection01991 | 24 | $85 |
| Anesthesia for Nerve Modulation Procedure Spinal Cord Or Repair of Bone of Spine of Lower Back Accessed Through Skin Using Imaging Guidance01942 | 20 | $148 |
| Anesthesia for Injection, Drainage Or Aspiration Procedures on Spine Or Spinal Cord of Neck Or Upper Back Accessed Through Skin Using Imaging Guidance01937 | 13 | $107 |
| Anesthesia for Injection, Drainage Or Aspiration Procedures on Spine Or Spinal Cord of Lower Back Accessed Through Skin Using Imaging Guidance |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$42 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2104 Northdale Blvd Nw Ste 220Coon Rapids, MN 55433-3046Phone: (763) 537-6000
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Samuel Patrick Otis's NPI number?
- Samuel Patrick Otis's National Provider Identifier (NPI) is 1619452075, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Patrick Otis's specialty?
- Samuel Patrick Otis is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samuel Patrick Otis located?
- Samuel Patrick Otis's practice location on file with NPPES is 6500 Excelsior Blvd, St Louis Park, MN 55426-4702.
- What is Samuel Patrick Otis's phone number?
- The practice phone number listed in the NPPES registry for Samuel Patrick Otis is (952) 993-5000.
- Does Samuel Patrick Otis accept Medicare?
- Samuel Patrick Otis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Patrick Otis's NPI active?
- Yes — Samuel Patrick Otis's NPI (1619452075) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.