GARY E ANDERSON CRNA
NPI 1124135413
Nurse Anesthetist, Certified Registered in Rapid City, SD

Q: What is Gary Anderson's NPI number?

The NPI number for Gary Anderson is 1124135413. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Gary Anderson'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 Gary Anderson was last updated on March 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.

Active since August 24, 2006

353 FAIRMONT BLVD, RAPID CITY, SD 57701(605) 719-1000(605) 719-7680 Get Directions Write a Review

NPPES record last updated: March 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gary E Anderson Crna NPPES

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

GARY E ANDERSON CRNA (NPI 1124135413) is an individual nurse anesthetist, certified registered in Rapid City, South Dakota, licensed in South Dakota (R023263) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1124135413

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameGARY E ANDERSONCredential: CRNA

Location Address353 FAIRMONT BLVDRapid City, SD 57701-7375

Mailing AddressPo Box 3450Rapid City, SD 57709-3450 · (605) 719-1000 · Fax (605) 719-7680

Phone(605) 719-1000

Fax(605) 719-7680

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateMarch 8, 2008

✔ NPI 1124135413 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 · R023263

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.

353 FAIRMONT BLVD, Rapid City, SD 57701

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Other Identifiers 5

Other4994755SD · Wellmark

Medicare PINS100258SD

OtherP00246259SD · Rr Medicare

Medicaid5752123SD

Medicaid5752124SD

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.

MONUMENT HEALTH RAPID CITY HOSPITAL, INC.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)