Nickolaus A. Spain, CRNA
NPI 1275851933ActiveIndividual· Nurse Anesthetist, Certified Registered· Rapid City, SD
Nurse Anesthetist, Certified Registered (CRNA) with Black Hills Surgical Hospital LLC, practicing in Rapid City, South Dakota. Medicare paid $44,504 for services to 396 patients in 2024. Takeda Pharmaceuticals U.S.A., Inc. was the largest of 2 companies reporting payments in 2025, $212.45 in all, mostly food and beverage. Lists Black Hills Surgical Hospital LLC as a hospital affiliation.
Overview
| NPI | 1275851933 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | May 5, 2010 |
| Last updated in NPPES | Apr 14, 2022 |
| Certified by provider | Apr 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | CR000837 | SD |
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) (NE); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 396 |
|---|---|
| Services billed | 403 across 18 procedure codes |
| Paid by Medicare | $44,504 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Black Hills Surgical Hospital LLCSpearfish, SD · 174 clinicians
Hospital affiliation
- Black Hills Surgical Hospital LLCRapid City, SD
Industry payments (Open Payments)
- 2025$212.45 · 8 payments from 2 companies
- 2024$135.63 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $190.19 | 7 |
| Rayner Intraocular Lenses Limited | $22.26 | 1 |
What the 2025 payments were for
- Food and Beverage$212.45 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 111 nurse anesthetists in Rapid City · All nurse anesthetists in South Dakota