KELLY M BOUMA CRNA
NPI 1255630570
Nurse Anesthetist, Certified Registered in Rapid City, SD

Q: What is Kelly Bouma's NPI number?

The NPI number for Kelly Bouma is 1255630570. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Q: What is Kelly Bouma'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 Kelly Bouma was last updated on December 28, 2023. 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 March 25, 2011Accepts Medicare Assignment

85.75/100

CMS Quality Rating

2800 3RD ST, RAPID CITY, SD 57701(605) 341-2000(605) 341-0278 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kelly M Bouma Crna NPPES

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

KELLY M BOUMA CRNA (NPI 1255630570) is an individual nurse anesthetist, certified registered in Rapid City, South Dakota, licensed in North Dakota (R36162) and active in the NPI registry since March 2011. She maintains 2 additional practice locations and is a graduate of Other (2011).

NPPES Registry Identity

NPI1255630570

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKELLY M BOUMACredential: CRNA

Location Address2800 3RD STRapid City, SD 57701-7374

Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 418-8000 · Fax (701) 857-5031

Phone(605) 341-2000

Fax(605) 341-0278

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 25, 2011

Last NPPES UpdateDecember 28, 2023

NPPES CertifiedDecember 28, 2023

✔ NPI 1255630570 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 ND · R36162

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.

2800 3RD ST, Rapid City, SD 57701

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Burdick Expy WMinot, ND 58701-4406 · Phone (701) 857-5124 · Fax (701) 857-3264

Location 22305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 857-5000

Accepted Insurance

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

Kelly M Bouma 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 ID345425518

PECOS Enrollment IDI20130422000026

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

405 services362 patients

Anesthesia for procedure on eyelid 00103

Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.

90 services87 patients

Anesthesia for retinal surgery 00145

Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).

49 services49 patients

Anesthesia for other procedure on eye 00140

Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.

38 services37 patients

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.5

Improvement Activities

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.

DR. DANIEL J HAFNER M.D.

Ophthalmology