Samuel Patrick Faunillan Otis, CRNA
NPI 1619452075ActiveIndividual· Nurse Anesthetist, Certified Registered· St Louis Park, MN
Nurse Anesthetist, Certified Registered (CRNA) with Park Nicollet Methodist Hospital and 1 other group, practicing in St Louis Park, Minnesota. Medicare paid $29,588 for services to 196 patients in 2024. Medtronic, Inc. was the largest of 3 companies reporting payments in 2025, $145.05 in all, mostly food and beverage. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1619452075 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Oct 1, 2018 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 2287 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 196 |
|---|---|
| Services billed | 235 across 21 procedure codes |
| Paid by Medicare | $29,588 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Park Nicollet Methodist HospitalSt Louis Park, MN · 113 clinicians
- Nura PLLCEdina, MN · 33 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
- 2025$145.05 · 6 payments from 3 companies
- 2024$41.80 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $75.06 | 4 |
| Saluda Medical Americas, Inc. | $49.62 | 1 |
| Curonix LLC | $20.37 | 1 |
What the 2025 payments were for
- Food and Beverage$145.05 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 95 nurse anesthetists in St Louis Park · All nurse anesthetists in Minnesota