Active NPI
Austin Dale, CRNA
- Certified Registered Nurse Anesthetist
- Watertown, SD
National Provider Identifier
1104246289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CR000843
- Practice address
- 401 9TH Ave NW
Watertown, SD 57201-1548 - Phone
- (605) 882-7000
- NPI assigned
- Apr 16, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Watertown, SD
- NPI 1720166002
-
- Rural Acute Care Hospital
- Watertown, SD
- NPI 1659316214
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Watertown, SD
- NPI 1124056742
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sisseton, SD
- NPI 1174569669
-
- Home Health Agency
- Watertown, SD
- NPI 1205851458
-
- Community Based Hospice Care Agency
- Watertown, SD
- NPI 1467480640
-
- Family Medicine Physician
- Castlewood, SD
- NPI 1578369070
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prairie Lakes Health Care System Inc
Practice addresses (Care Compare)
401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000
Hospital & facility affiliations
- Prairie Lakes Healthcare System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.59 of 100
- Quality
- 100
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 85.3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140710002537 | SD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6507081379 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Past | Accepting new patients |
Locations
401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CR000843 | SD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
401 9TH Ave NW
Watertown, SD 57201-1548
Mailing address
PO Box 1210
Watertown, SD 57201-6210
Phone (605) 882-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2024.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1104246289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1210",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572016210",
"telephone_number": "605-882-7000",
"fax_number": "605-882-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 9TH AVE NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011548",
"telephone_number": "605-882-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "AUSTIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "CR000843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.