Individual provider · Type 1 NPI

Kelly Marie Simon, CRNA

Certified Registered Nurse Anesthetist · Minneapolis, MN

NPI number 1285529966 Active

Practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Mailing address

1299 James Ave
St. Paul, MN 55105-2949

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR1744514 (MN)
Certified Registered Nurse Anesthetist Primary 367500000X3238 (MN)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1285529966

Kelly Marie Simon, CRNA's National Provider Identifier is 1285529966, issued on Jun 11, 2025. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 17, 2025.