Joseph W Amo, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Rapid City, SD
NPI 1053536359 · NPPES record last updated Jan 3, 2013
Key facts
- NPI
- 1053536359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- CR000655 (SD)
- Practice address
- 353 Fairmont Blvd
Rapid City, SD 57701 - Phone
- (605) 719-1000
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Black Hills Surgical Hospital LLC
North Platte Surgery Center Anesthesia LLC
Practice addresses (Care Compare)
216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 721-4700
621 W Francis St
North Platte, NE 69101-0608
Phone (308) 534-8800
Hospital & facility affiliations
- Black Hills Surgical Hospital LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070523000381 | SD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648377846 | Reassigns benefits to 2 organizations |
| I20210409001717 | NE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648377846 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR000655 | SD | MD | Certified Registered Nurse Anesthetist |
| R030453 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| North Platte Surgery Center LLC | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| North Platte Surgery Center Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Faith Regional Physician Services, LLC | Current |
Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| Rushmore Ambulatory Surgery Center | Past | Accepting new patients | |
| Black Hills Surgical Hospital, LLP | Past | Accepting new patients |
Locations
47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150
2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194
621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800
1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900
216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440
Interoperability endpoints
- jamo342587@direct.nebraskamed.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CR000655 | SD | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | R030453 | SD |
Addresses
Primary practice location
353 Fairmont Blvd
Rapid City, SD 57701
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Other providers in Rapid City, SD
- Jessica A Alvarez
- Ricardo Ernesto Alvillar
- Kelly Ambrosi
- Amie Amiotte
- Tricia Ann Amiotte
- Mallory Ellen Amo
- Caleb Amos
- Anchor Point Healing LLC
- Kelly Anderberg
- Kari A Anders
All providers in Rapid City, SD · Certified Registered Nurse Anesthetist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.