PAUL M BOMMERSBACH CRNA
NPI 1194710939
Nurse Anesthetist, Certified Registered in Sioux Falls, SD
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
Specialties & Licenses
Other Identifiers 15
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Bommersbach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 clinicians in this Medicare group
Sioux Falls, SD 57108
- Reassigned Medicare billing, South Dakota enrollment
- 52 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.
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, SDPhysician 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.
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.
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.
Which organizations bill Medicare for Paul Bommersbach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Bommersbach reassigns Medicare benefits to 2 organizations: Avera Mckennan (Sioux Falls, SD) and Heart Hospital Of South Dakota LLC (Sioux Falls, 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 Paul Bommersbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Bommersbach accept?
Health plans from Avera Health Plans 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Paul M Bommersbach, CRNA · NPI 1194710939
Nurse Anesthetist, Certified Registered physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since September 19, 2005.
## Identity
- **NPI:** 1194710939 (Entity type: Individual)
- **Enumerated:** September 19, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R025403 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 E 21ST ST, Sioux Falls, SD 57105-1016
- **Phone:** (605) 322-2754 · **Fax:** (605) 322-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Avera Mckennan (NPI 1053680678, Sioux Falls, SD); Heart Hospital Of South Dakota LLC (NPI 1023003969, Sioux Falls, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** August 20, 2010
- **Other identifiers:** Medicaid 5751464 (SD); Medicaid 46022474348 (NE); Medicare PIN S41797 (SD); and 12 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1194710939) · Data from the CMS NPPES public registry.