Active NPI
Michael J Melmer, CRNA
- Certified Registered Nurse Anesthetist
- Huron, SD
National Provider Identifier
1114900594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R019927
- Practice address
- 172 4TH St SE
Huron, SD 57350-2510 - Phone
- (605) 353-6593
- Fax
- (605) 353-6506
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R019927 | SD | Primary |
Addresses
Primary practice location
172 4TH St SE
Huron, SD 57350-2510
Mailing address
172 4TH St SE
Huron, SD 57350-2510
Phone (605) 353-6593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5750022 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R019927 | SD | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114900594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 4TH ST SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502510",
"telephone_number": "605-353-6593",
"fax_number": "605-353-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 4TH ST SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502510",
"telephone_number": "605-353-6593",
"fax_number": "605-353-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELMER",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "R019927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5750022",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.