TYLER RICHARDSON
NPI 1255175931
Nurse Anesthetist, Certified Registered in Rapid City, SD

Q: What is Tyler Richardson's NPI number?

The NPI number for Tyler Richardson is 1255175931. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Q: What is Tyler Richardson'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 Tyler Richardson was last updated on June 19, 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.

Active since June 19, 2024Accepts Medicare Assignment

216 ANAMARIA DR, RAPID CITY, SD 57701(605) 721-4700 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tyler Richardson NPPES

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

TYLER RICHARDSON (NPI 1255175931) is an individual nurse anesthetist, certified registered in Rapid City, South Dakota, licensed in South Dakota (CR001174) and active in the NPI registry since June 2024. He is affiliated with Black Hills Surgical Hospital Llp and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255175931

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTYLER RICHARDSON

Location Address216 ANAMARIA DRRapid City, SD 57701-7366

Mailing Address3411 Ivy AveRapid City, SD 57701-7543 · (605) 415-5480

Phone(605) 721-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 19, 2024

NPPES CertifiedJune 19, 2024

✔ NPI 1255175931 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 · CR001174

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.

216 ANAMARIA DR, Rapid City, SD 57701

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Accepted Insurance

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

Tyler Richardson 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 ID9537606181

PECOS Enrollment IDI20240801000978

Hospital Affiliations CMS Care Compare

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

Black Hills Surgical Hospital LLP

Acute Care Hospitals · Rapid City, SD

OwnershipProprietary

CMS Certification Number430091

Location216 Anamaria DrRapid City, SD 57703 · Pennington County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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.

HAILEY HEINZE

Specialist/Technologist (Athletic Trainer)