TREVOR ROCKWELL POTTS
NPI 1821557943
Nurse Anesthetist, Certified Registered in Rapid City, SD

Q: What is Trevor Potts's NPI number?

The NPI number for Trevor Potts is 1821557943. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Trevor Potts'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 Trevor Potts was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 18, 2019Accepts Medicare Assignment

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

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Trevor Rockwell Potts NPPES

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

TREVOR ROCKWELL POTTS (NPI 1821557943) is an individual nurse anesthetist, certified registered in Rapid City, South Dakota, licensed in South Dakota (CR001009) and active in the NPI registry since March 2019. He is affiliated with Black Hills Surgical Hospital Llp and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821557943

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTREVOR ROCKWELL POTTS

Location Address216 ANAMARIA DRRapid City, SD 57701-7366

Mailing Address13165 Bridge LnRapid City, SD 57702-8523 · (605) 490-1123

Phone(605) 721-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 18, 2019

✔ NPI 1821557943 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 · CR001009

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, Blue Cross Blue Shield of Wyoming, 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

Trevor Rockwell Potts 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 ID3577804962

PECOS Enrollment IDI20190411003196

Medicare Billing Reassignment

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

Black Hills Surgical Hospital, LLC

0.1 mi

Anesthesiology

216 ANAMARIA DR
Rapid City, SD 57701

Reassigned Medicare billing, South Dakota enrollment
Also billed through NPI 1376896621 (South Dakota)
161 clinicians in this Medicare group

NPI 1972630275 (605) 721-4700

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.

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)