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GLACIAL LAKES ANESTHESIA, PLLC
NPI 1841901923
Nurse Anesthetist, Certified Registered in Watertown, SD

Active since December 08, 2022
1512 4TH ST NE, WATERTOWN, SD 57201(605) 884-0100(952) 442-3620 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glacial Lakes Anesthesia, Pllc NPPES

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

GLACIAL LAKES ANESTHESIA, PLLC (NPI 1841901923) is a healthcare organization registered as a nurse anesthetist, certified registered in Watertown, South Dakota and active in the NPI registry since December 2022. The organization lists Michael J Bevers, Owner, as its authorized official.

NPPES Registry Identity

NPI1841901923
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameGLACIAL LAKES ANESTHESIA, PLLC
Location Address1512 4TH ST NEWatertown, SD 57201-6824
Mailing Address400 10th St EWaconia, MN 55387-4552 · (952) 442-9770 · Fax (952) 442-3620
Phone(605) 884-0100
Fax(952) 442-3620
Organization SubpartNo
Authorized OfficialMichael J BeversOwner · (507) 272-1629
Enumeration DateDecember 8, 2022
NPPES CertifiedDecember 8, 2022
✔ NPI 1841901923 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.
1512 4TH ST NE, Watertown, SD 57201
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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

Other Providers at the Same Location NPPES 7

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

INNOVATIVE PAIN CENTER LLC
Pain Medicine (Interventional Pain Medicine)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
ALLISON THERESA TRACY FNP-C
Nurse Practitioner (Family)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
INNOVATIVE PROCEDURAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
LAKESIDE PAIN CENTER PROF. LLC
Clinic/Center (Pain)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
PATRICK L RETTERATH MD
Anesthesiology (Pain Medicine)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
AUSTIN J BECK D.O.
Pain Medicine (Interventional Pain Medicine)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
REMEDY ANESTHESIA SERVICES, PLLC
Nurse Anesthetist, Certified Registered
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100

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 Glacial Lakes Anesthesia, PLLC's NPI number?

The NPI number for Glacial Lakes Anesthesia, PLLC is 1841901923. It was assigned to this organization in the NPPES registry on December 8, 2022.

Where is Glacial Lakes Anesthesia, PLLC located?

Glacial Lakes Anesthesia, PLLC is located at 1512 4th St NE, Watertown, SD 57201. The listed phone number is (605) 884-0100.

What is Glacial Lakes Anesthesia, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Glacial Lakes Anesthesia, PLLC was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.