J R Anesthesia Prof LLC
NPI 1790066363ActiveOrganization· Nurse Anesthetist, Certified Registered· Rapid City, SD
Nurse Anesthetist, Certified Registered in Rapid City, South Dakota, registered in NPPES in September 2011. The authorized official on file is Barry J. Degen, CRNA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790066363 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2011 |
| Last updated in NPPES | Jan 16, 2020 |
| Certified by provider | Jan 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
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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