MRS. KIM RUBENDALL
NPI 1750361598
Nurse Anesthetist, Certified Registered in Mitchell, SD

Q: What is Kim Rubendall's NPI number?

The NPI number for Kim Rubendall is 1750361598. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Kim Rubendall'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 Kim Rubendall was last updated on March 1, 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.

Active since January 18, 2006Accepts Medicare Assignment

525 N FOSTER ST, MITCHELL, SD 57301(605) 995-2000 Get Directions Write a Review

NPPES record last updated: March 1, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Kim Rubendall NPPES

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

MRS. KIM RUBENDALL (NPI 1750361598) is an individual nurse anesthetist, certified registered in Mitchell, South Dakota, licensed in South Dakota (000514) and active in the NPI registry since January 2006. She is affiliated with Avera Queen Of Peace and is a graduate of Other (2001).

NPPES Registry Identity

NPI1750361598

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMRS. KIM RUBENDALL

Location Address525 N FOSTER STMitchell, SD 57301-2966

Mailing Address525 N Foster StMitchell, SD 57301-2966 · (605) 995-2000

Phone(605) 995-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJanuary 18, 2006

Last NPPES UpdateMarch 1, 2010

✔ NPI 1750361598 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 · 000514

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.

525 N FOSTER ST, Mitchell, SD 57301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark of South Dakota, Inc..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

Mrs. Kim Rubendall 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 ID1052587540

PECOS Enrollment IDI20120105000067

Medicare Billing Reassignment

Medicare enrollment records show Kim Rubendall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avera Queen Of Peace

Same address

Specialist

525 N FOSTER ST
Mitchell, SD 57301

Reassigned Medicare billing, South Dakota enrollment
Also billed through NPI 1992466635 (South Dakota)
227 clinicians in this Medicare group

NPI 1053548982 (605) 995-2000

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 Queen Of Peace

Critical Access Hospitals · Mitchell, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431340

Location525 N FosterMitchell, SD 57301 · Davison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57301 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.

DARLA EDINGER MD

Internal Medicine