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

Q: 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.

Q: What is Glacial Lakes Anesthesia, PLLC's specialty?

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

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: November 01, 2026.

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glacial Lakes Anesthesia, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glacial Lakes Anesthesia, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Bevers

Certified Registered Nurse Anesthetist (CRNA)

NPI 1962727339

9100 W 74TH ST
Shawnee Mission, KS 66204

(913) 676-2679

✔ Accepts Medicare427 mi

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 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.

Is Glacial Lakes Anesthesia, PLLC enrolled in Medicare?

Yes. Glacial Lakes Anesthesia, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glacial Lakes Anesthesia, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Glacial Lakes Anesthesia, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.