J R ANESTHESIA PROF LLC
NPI 1790066363
Nurse Anesthetist, Certified Registered in Rapid City, SD

Active since September 08, 2011
3615 5TH ST, 100, RAPID CITY, SD 57701(605) 343-6714(605) 343-2130 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2020, Mar 21, 2018 (2 updates tracked since 2018).

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

NPI1790066363
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameJ R ANESTHESIA PROF LLC
Location Address3615 5TH ST, 100Rapid City, SD 57701-6014
Mailing Address2014 Harney DrRapid City, SD 57702-5113 · (605) 381-5104
Fax(605) 343-2130
Organization SubpartNo
Authorized OfficialBarry J DegenOwner · (605) 381-5104
Enumeration DateSeptember 8, 2011
Last NPPES UpdateJanuary 16, 20202 updates tracked since enumeration
NPI 1790066363 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
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.
3615 5TH ST, Rapid City, SD 57701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3615 5TH ST, SUITE 107
RAPID CITY, SD 57701
Pharmacy (Long Term Care Pharmacy)
3615 5TH ST, SUITE 109
RAPID CITY, SD 57701
3615 5TH ST, SUITE 101
RAPID CITY, SD 57701
Nurse Practitioner
3615 5TH ST, SUITE, 101
RAPID CITY, SD 57701
Surgery (Plastic and Reconstructive Surgery)
3615 5TH ST, SUITE 101
RAPID CITY, SD 57701
Pharmacist
3615 5TH ST, STE 109
RAPID CITY, SD 57701
Clinic/Center (Ambulatory Surgical)
3615 5TH ST, SUITE 100
RAPID CITY, SD 57701
Surgery (Plastic and Reconstructive Surgery)
3615 5TH ST, SUITE 101
RAPID CITY, SD 57701

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.

What insurance does J R Anesthesia Prof LLC accept?

Health plans from Avera Health Plans, Medica 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.