J R ANESTHESIA PROF LLC
NPI 1790066363
Nurse Anesthetist, Certified Registered in Rapid City, SD
About J R Anesthesia Prof Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
J R ANESTHESIA PROF LLC (NPI 1790066363) is a healthcare organization registered as a nurse anesthetist, certified registered in Rapid City, South Dakota and active in the NPI registry since September 2011. The organization lists Barry J Degen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
J R Anesthesia Prof Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to J R Anesthesia Prof LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 J R Anesthesia Prof LLC's NPI number?
The NPI number for J R Anesthesia Prof LLC is 1790066363. It was assigned to this organization in the NPPES registry on September 8, 2011.
Where is J R Anesthesia Prof LLC located?
J R Anesthesia Prof LLC is located at 3615 5th St 100, Rapid City, SD 57701. The listed phone number is (605) 343-6714.
What is J R Anesthesia Prof LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is J R Anesthesia Prof LLC enrolled in Medicare?
Yes. J R Anesthesia Prof LLC is registered in the Medicare PECOS enrollment system.
When is J R Anesthesia Prof LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Dakota, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through J R Anesthesia Prof LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to J R Anesthesia Prof LLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does J R Anesthesia Prof LLC accept?
Health plans from Avera Health Plans and Sanford Health Plan list J R Anesthesia Prof LLC 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.
When was this NPI record last updated?
The NPPES record for J R Anesthesia Prof LLC was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# J R Anesthesia Prof Llc · NPI 1790066363
Nurse Anesthetist, Certified Registered organization in Rapid City, South Dakota. Organization record, active in the CMS NPPES registry since September 8, 2011.
## Identity
- **NPI:** 1790066363 (Entity type: Organization)
- **Enumerated:** September 8, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Barry Degen, OWNER
## Practice location
- **Address:** 3615 5TH ST, 100, Rapid City, SD 57701-6014
- **Phone:** (605) 343-6714 · **Fax:** (605) 343-2130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, South Dakota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1790066363) · Data from the CMS NPPES public registry.