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KEITH A WANNER CRNA
NPI 1114178159
Nurse Anesthetist, Certified Registered in Watertown, SD

Active since October 08, 2008Accepts Medicare Assignment
97.75/100
CMS Quality Rating
401 9TH AVE NW, WATERTOWN, SD 57201(605) 882-7000(605) 882-7819 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keith A Wanner Crna NPPES

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

KEITH A WANNER CRNA (NPI 1114178159) is an individual nurse anesthetist, certified registered in Watertown, South Dakota, licensed in South Dakota (CR000711) and active in the NPI registry since October 2008. He is affiliated with Prairie Lakes Healthcare System, Inc and is a graduate of Other (2008).

NPPES Registry Identity

NPI1114178159
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEITH A WANNERCredential: CRNA
Location Address401 9TH AVE NWWatertown, SD 57201-1548
Mailing Address401 9th Ave NwWatertown, SD 57201-1548 · (605) 882-7000 · Fax (605) 882-7819
Phone(605) 882-7000
Fax(605) 882-7819
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 8, 2008
✔ NPI 1114178159 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 · CR000711
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
Open in Google Maps ↗

Other Identifiers 1

OtherCR000711SD · Crna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan, Wellmark of South Dakota, Inc..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

Keith A Wanner 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 ID7012079098
PECOS Enrollment IDI20081230000042

Medicare Billing Reassignments

2

Medicare enrollment records show Keith Wanner reassigns Medicare billing to 2 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
Ikare Anesthesia LLC
78 mi
Nurse Anesthetist, Certified Registered
905 N 3RD ST
Aberdeen, SD 57401
  • Reassigned Medicare billing, South Dakota enrollment
  • 5 clinicians in this Medicare group
NPI 1396594198 (605) 262-0404

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 2

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.
40 services40 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability99
Improvement Activities40
Cost93.34

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)
401 9TH AVE NW
WATERTOWN, SD 57201
Codington County (605) 882-7953
DAVID DANIEL FEIST PA-C
Physician Assistant (Medical)
401 9TH AVE NW
WATERTOWN, SD 57201
Codington County (605) 882-7000
DR. SALEM N MAALIKI MD
Internal Medicine (Interventional Cardiology)
401 9TH AVE NW
WATERTOWN, SD 57201
Codington County (605) 882-7953
GERALD M RIEBER MD
Orthopaedic Surgery
401 9TH AVE NW
WATERTOWN, SD 57201
Codington County (605) 882-2630
KEVIN DANIEL ROARK CRNA
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Codington County (605) 882-7000
JARED DAMIAN MURPHY CRNA
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Codington County (605) 882-7000
HENRY P VOSS CRNA
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Codington County (605) 882-7000
MRS. KIRSTEN ELIZABETH TITZE BLACKWELL M.S., CCC-SLP
Speech-Language Pathologist
401 9TH AVE NW
WATERTOWN, SD 57201
Codington County (605) 882-7700

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 Keith Wanner's NPI number?

The NPI number for Keith Wanner is 1114178159. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Keith Wanner located?

Keith Wanner practices at 401 9th Ave NW, Watertown, SD 57201. The listed phone number is (605) 882-7000.

What is Keith Wanner's specialty?

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

Is Keith Wanner enrolled in Medicare?

Yes. Keith Wanner 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 Keith Wanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Wanner reassigns Medicare benefits to 2 organizations: Prairie Lakes Health Care System Inc (Watertown, SD) and Ikare Anesthesia LLC (Aberdeen, SD). 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 Keith Wanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Wanner accept?

Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Keith Wanner 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 Keith Wanner affiliated with any hospitals?

According to CMS data, Keith Wanner is affiliated with Prairie Lakes Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Keith Wanner was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.