JACOB J DUTCHER CRNA
NPI 1093888760
Nurse Anesthetist, Certified Registered in Chamberlain, SD

Active since November 17, 2006Accepts Medicare Assignment
300 S BYRON BLVD, CHAMBERLAIN, SD 57325(605) 234-6551 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob J Dutcher Crna NPPES

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

JACOB J DUTCHER CRNA (NPI 1093888760) is an individual nurse anesthetist, certified registered in Chamberlain, South Dakota, licensed in South Dakota (200653) and active in the NPI registry since November 2006. He is affiliated with St Mary's Healthcare, maintains a secondary practice location in Amsterdam, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1093888760
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB J DUTCHERCredential: CRNA
Location Address300 S BYRON BLVDChamberlain, SD 57325-9741
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 17, 2006
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1093888760 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 · 200653
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.
300 S BYRON BLVD, Chamberlain, SD 57325

Secondary Practice Location 1

Location 1427 Guy Park AveAmsterdam, NY 12010-1064 · Phone (518) 770-7518 · Fax (518) 770-7570

Accepted 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

Jacob J Dutcher 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 ID5890892509
PECOS Enrollment IDI20070515000016

Medicare Billing Reassignments

5

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

Critical Access
300 S BYRON BLVD
Chamberlain, SD 57325
  • Reassigned Medicare billing, South Dakota enrollment
  • 60 clinicians in this Medicare group
Skilled Nursing Facility
99 E STATE ST
Gloversville, NY 12078
  • Reassigned Medicare billing, New York enrollment
  • 79 clinicians in this Medicare group
General Acute Care Hospital
427 GUY PARK AVE, ST MARYS HEALTHCARE PRIMARY CARE DEPT
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St. Mary's Healthcare
  • 144 clinicians in this Medicare group
Ambulatory Surgical
100 HOLLAND CIRCLE DR
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
Ophthalmology
100 HOLLAND CIRCLE DR
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group

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

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 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330276
Location99 East State StreetGloversville, NY 12078 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57325 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.

Family Medicine
300 S BYRON BLVD
CHAMBERLAIN, SD 57325
Nurse Anesthetist, Certified Registered
300 S BYRON BLVD
CHAMBERLAIN, SD 57325
Dietitian, Registered
300 S BYRON BLVD
CHAMBERLAIN, SD 57325
Family Medicine
300 S BYRON BLVD
CHAMBERLAIN, SD 57325
Nurse Practitioner (Psychiatric/Mental Health)
300 S BYRON BLVD
CHAMBERLAIN, SD 57325
Family Medicine
300 S BYRON BLVD
CHAMBERLAIN, SD 57325
General Acute Care Hospital (Critical Access)
300 S BYRON BLVD
CHAMBERLAIN, SD 57325
Nurse Anesthetist, Certified Registered
300 S BYRON BLVD
CHAMBERLAIN, SD 57325

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Dutcher's NPI number?

The NPI number for Jacob Dutcher is 1093888760. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Jacob Dutcher located?

Jacob Dutcher practices at 300 S Byron Blvd, Chamberlain, SD 57325. The listed phone number is (605) 234-6551.

What is Jacob Dutcher's specialty?

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

Is Jacob Dutcher enrolled in Medicare?

Yes. Jacob Dutcher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacob Dutcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Dutcher reassigns Medicare benefits to 5 organizations: Sanford Health Network (Chamberlain, SD), Nathan Littauer Hospital Association (Gloversville, NY), St Marys Healthcare (Amsterdam, NY), Amsterdam Rec LLC (Amsterdam, NY) and Kwiat Eye And Laser Surgery PLLC (Amsterdam, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Dutcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Dutcher accept?

Health plans from Sanford Health Plan and Wellmark of South Dakota, Inc. list Jacob Dutcher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Dutcher affiliated with any hospitals?

According to CMS data, Jacob Dutcher is affiliated with St Mary's Healthcare and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Dutcher was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.