PELOTON ANESTHESIA, PLLC
NPI 1912596545
Nurse Anesthetist, Certified Registered in Rapid City, SD

Q: What is Peloton Anesthesia, PLLC's NPI number?

The NPI number for Peloton Anesthesia, PLLC is 1912596545. It was assigned to this organization in the NPPES registry on January 18, 2021.

Q: What is Peloton Anesthesia, PLLC's specialty?

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

Active since January 18, 2021

2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701(888) 209-0305(952) 442-3620 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Peloton Anesthesia, Pllc NPPES

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

PELOTON ANESTHESIA, PLLC (NPI 1912596545) is a healthcare organization registered as a nurse anesthetist, certified registered in Rapid City, South Dakota and active in the NPI registry since January 2021. The organization lists Peter C Glassbrenner, Partner, as its authorized official.

NPPES Registry Identity

NPI1912596545

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NamePELOTON ANESTHESIA, PLLC

Location Address2820 MOUNT RUSHMORE RDRapid City, SD 57701-5462

Mailing Address400 10th St EWaconia, MN 55387-4552 · (888) 209-0305 · Fax (952) 442-3620

Phone(888) 209-0305

Fax(952) 442-3620

Organization SubpartNo

Authorized OfficialPeter C GlassbrennerPartner · (308) 430-3993

Enumeration DateJanuary 18, 2021

NPPES CertifiedJanuary 18, 2021

✔ NPI 1912596545 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.

2820 MOUNT RUSHMORE RD, Rapid City, SD 57701

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan.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)

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

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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.

StateEnrollment IDDue date

StateSouth DakotaEnrollment IDO20210219002480Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 25 clinicians reassign Medicare billing to Peloton Anesthesia, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.