KEVIN DANIEL ROARK CRNA
NPI 1023398898
Nurse Anesthetist, Certified Registered in Watertown, SD

Q: What is Kevin Roark's NPI number?

The NPI number for Kevin Roark is 1023398898. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Q: What is Kevin Roark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Roark was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2011Accepts Medicare Assignment

401 9TH AVE NW, WATERTOWN, SD 57201(605) 882-7000 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kevin Daniel Roark Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN DANIEL ROARK CRNA (NPI 1023398898) is an individual nurse anesthetist, certified registered in Watertown, South Dakota, licensed in South Dakota (CR000762) and active in the NPI registry since August 2011. He is affiliated with Prairie Lakes Healthcare System, Inc and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023398898

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameKEVIN DANIEL ROARKCredential: CRNA

Location Address401 9TH AVE NWWatertown, SD 57201-1548

Mailing Address401 9th Ave NwWatertown, SD 57201-1548 · (605) 882-7000

Phone(605) 882-7000

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 24, 2011

Last NPPES UpdateMarch 13, 2026

NPPES CertifiedMarch 13, 2026

✔ NPI 1023398898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in SD · CR000762

Definition

(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 credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

401 9TH AVE NW, Watertown, SD 57201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Health, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Daniel Roark Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395919450

PECOS Enrollment IDI20111129000733

Medicare Billing Reassignments

Medicare enrollment records show Kevin Roark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prairie Lakes Health Care System Inc

Same address

Rural

401 9TH AVE NW
Watertown, SD 57201

Reassigned Medicare billing, South Dakota enrollment
109 clinicians in this Medicare group

NPI 1720166002 (605) 882-7000

Huron Regional Medical Center

42 mi

Critical Access

306 PRAIRIE AVE SW
De Smet, SD 57231

Reassigned Medicare billing, South Dakota enrollment
Also billed through NPI 1154312429 (South Dakota)
120 clinicians in this Medicare group

NPI 1841271186 (605) 854-3329

Avera Gettysburg

140 mi

Critical Access

606 E GARFIELD AVE
Gettysburg, SD 57442

Reassigned Medicare billing, South Dakota enrollment
39 clinicians in this Medicare group

NPI 1003887266 (605) 765-2480

Avera St. Mary's

163 mi

Physical Therapist

1211 E WELLS AVE
Pierre, SD 57501

Reassigned Medicare billing, South Dakota enrollment
Medicare enrollment name: Avera St Marys
197 clinicians in this Medicare group

NPI 1972082683 (605) 224-3100

Siouxland Anesthesiology, Ltd

169 mi

Pain Medicine

600 N SIOUX POINT RD
Dakota Dunes, SD 57049

Reassigned Medicare billing, South Dakota enrollment
62 clinicians in this Medicare group

NPI 1669496337 (605) 232-3332

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

26 services23 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

19 services19 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

16 services16 patients

Anesthesia for other procedure on lower leg, ankle, and foot bones 01480

Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430005

Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County

Emergency services Birthing friendly

Dunes Surgical Hospital

Acute Care Hospitals · Dakota Dunes, SD

OwnershipProprietary

CMS Certification Number430089

Location600 N Sioux Point RoadDakota Dunes, SD 57049 · Union County

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431335

Location172 Fourth Street SEHuron, SD 57350 · Beadle County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JACKLYN ANN KARLI CNP

Nurse Practitioner (Adult Health)