PAUL M BOMMERSBACH CRNA
NPI 1194710939
Nurse Anesthetist, Certified Registered in Sioux Falls, SD

Active since September 19, 2005Accepts Medicare Assignment
800 E 21ST ST, SIOUX FALLS, SD 57105(605) 322-2754(605) 322-2727 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul M Bommersbach Crna NPPES

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

PAUL M BOMMERSBACH CRNA (NPI 1194710939) is an individual nurse anesthetist, certified registered in Sioux Falls, South Dakota, licensed in South Dakota (R025403) and active in the NPI registry since September 2005. He is affiliated with Avera Mckennan Hospital & University Health Center and is a graduate of Other (1997).

NPPES Registry Identity

NPI1194710939
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NamePAUL M BOMMERSBACHCredential: CRNA
Location Address800 E 21ST STSioux Falls, SD 57105-1016
Mailing Address800 E 21st St, Pat Financial Serv.Sioux Falls, SD 57105-1016 · (605) 322-2754 · Fax (605) 322-2727
Fax(605) 322-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 19, 2005
Last NPPES UpdateAugust 20, 2010
NPI 1194710939 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 · R025403
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.

800 E 21ST ST, Sioux Falls, SD 57105

Other Identifiers 15

Medicaid5751464SD
Medicaid46022474348NE
Medicare PINS41797SD
Medicare PIN430051328SD
Medicare PINS40667SD
Other4995505SD · Wellmark
Medicaid5751466SD
OtherR025403SD · Dakotacare
Medicaid350443300MN
Other005230SD · Blue Cross Of Sd
Other013K4BOMN · Mn Blue Cross Bs
Medicaid1538736IA
Medicaid2538736IA
Medicare PINS5230SD
Medicare PINP00176112

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul M Bommersbach 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 ID8325034184
PECOS Enrollment IDI20040426000581

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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.

Nurse Anesthetist, Certified Registered
800 E 21ST ST
SIOUX FALLS, SD 57105
Dietitian, Registered
800 E 21ST ST
SIOUX FALLS, SD 57105
Emergency Medicine
800 E 21ST ST, EMERGENCY DEPT
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
800 E 21ST ST, AVERA MCKENNAN ANESTHESIOLOGY
SIOUX FALLS, SD 57105
Physical Therapist
800 E 21ST ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
800 E 21ST ST
SIOUX FALLS, SD 57105
Occupational Therapist (Hand)
800 E 21ST ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
800 E 21ST ST
SIOUX FALLS, SD 57105

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 Paul Bommersbach's NPI number?

The NPI number for Paul Bommersbach is 1194710939. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Paul Bommersbach located?

Paul Bommersbach practices at 800 E 21st St, Sioux Falls, SD 57105. The listed phone number is (605) 322-2754.

What is Paul Bommersbach's specialty?

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

Is Paul Bommersbach enrolled in Medicare?

Yes. Paul Bommersbach 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.

What insurance does Paul Bommersbach accept?

Health plans from Avera Health Plans and Medica list Paul Bommersbach 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 Paul Bommersbach affiliated with any hospitals?

According to CMS data, Paul Bommersbach is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Paul Bommersbach was last updated on August 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.