BLACK HILLS REGIONAL SURGERY ANESTHESIA
NPI 1174654081
Nurse Anesthetist, Certified Registered in Rapid City, SD
About Black Hills Regional Surgery Anesthesia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK HILLS REGIONAL SURGERY ANESTHESIA (NPI 1174654081) is a healthcare organization registered as a nurse anesthetist, certified registered in Rapid City, South Dakota and active in the NPI registry since March 2007. The organization lists Jodi Anderson, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Black Hills Regional Surgery Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Black Hills Regional Surgery Anesthesia, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Black Hills Regional Eye Surgery Center, LLC's NPI number?
The NPI number for Black Hills Regional Eye Surgery Center, LLC is 1174654081. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Black Hills Regional Surgery Anesthesia.
Where is Black Hills Regional Eye Surgery Center, LLC located?
Black Hills Regional Eye Surgery Center, LLC is located at 2800 3rd St, Rapid City, SD 57701. The listed phone number is (605) 341-2000.
What is Black Hills Regional Eye Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Black Hills Regional Eye Surgery Center, LLC enrolled in Medicare?
Yes. Black Hills Regional Eye Surgery Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Black Hills Regional Eye Surgery Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Black Hills Regional Eye Surgery Center, LLC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (13) and Nurse Practitioner (1). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Black Hills Regional Eye Surgery Center, LLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Black Hills Regional Surgery Anesthesia · NPI 1174654081
Nurse Anesthetist, Certified Registered organization in Rapid City, South Dakota. Organization record, active in the CMS NPPES registry since March 9, 2007.
## Identity
- **NPI:** 1174654081 (Entity type: Organization)
- **Enumerated:** March 9, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Legal business name:** Black Hills Regional Eye Surgery Center, Llc
- **Organization subpart:** No
- **Authorized official:** Jodi Anderson, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 2800 3RD ST, Rapid City, SD 57701-7374
- **Phone:** (605) 341-2000 · **Fax:** (605) 341-0278
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (13), Nurse Practitioner (1); 5 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174654081) · Data from the CMS NPPES public registry.