Clinton Bresee, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Sioux Falls, SD
NPI 1104367440 · NPPES record last updated Mar 20, 2017
Key facts
- NPI
- 1104367440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- CR000934 (SD)
- Practice address
- 1305 W 18TH St
Anesthesia Dept
Sioux Falls, SD 57117 - Phone
- (605) 328-2563
- NPI assigned
- Mar 20, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
Hospital & facility affiliations
- Sanford Usd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 78.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170621002528 | SD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3870861552 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center | Current |
Accepting new patients |
Locations
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CR000934 | SD | Yes |
Addresses
Primary practice location
1305 W 18TH St
Anesthesia Dept
Sioux Falls, SD 57117
Mailing address
1305 W 18TH St
Anesthesia Dept
Sioux Falls, SD 57117
Other providers in Sioux Falls, SD
- Brenda Hansen-Mayer, LLC
- Tiffany Brende
- Misty Marie Brenden
- Brennan Allergy Clinic Prof LLC
- Julia Catherine Brennan
- Colleen Breske
- Brett Lorenz, OD, L.L.C.
- Tami Ann Breuer Gangestad
- Jordon Breuer
- Nicholas Thomas Breuer
All providers in Sioux Falls, 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 Mar 20, 2017. 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.