Black Hills Regional Eye Surgery Center, LLC
NPI 1174654081ActiveOrganization· Nurse Anesthetist, Certified Registered· Rapid City, SD
Nurse Anesthetist, Certified Registered in Rapid City, South Dakota, registered in NPPES in March 2007. The authorized official on file is Jodi Anderson, Chief Financial Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174654081 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2007 |
| Last updated in NPPES | Jul 11, 2024 |
| Certified by provider | Jul 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SD) |
|---|
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