Kevin Reisdorf
NPI 1629138870 · Certified Registered Nurse Anesthetist · Duluth, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Reisdorf is a Certified Registered Nurse Anesthetist provider in Duluth, MN (NPI 1629138870).
Provider details
- NPI number
- 1629138870
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R134330-0 (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 tenure38% of score
19 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
- 2006-12-11
- Last updated
- 2011-06-27
Frequently asked questions
- What is Kevin Reisdorf's NPI number?
- Kevin Reisdorf's National Provider Identifier (NPI) is 1629138870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Reisdorf's specialty?
- Kevin Reisdorf is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Reisdorf located?
- Kevin Reisdorf's practice location on file with NPPES is 400 E 3rd St, Duluth, MN 55805-1951.
- What is Kevin Reisdorf's phone number?
- The practice phone number listed in the NPPES registry for Kevin Reisdorf is (218) 786-4626.
- Does Kevin Reisdorf accept Medicare?
- Kevin Reisdorf is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Reisdorf's NPI active?
- Yes — Kevin Reisdorf's NPI (1629138870) is active in the NPPES registry as of the last update on 2011-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.