NPIMap

Individual provider Active NPI

Alex Schroeder

  • Certified Registered Nurse Anesthetist
  • Sioux City, IA
National Provider Identifier
1124586250
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
PENDING Issued in IA
Practice address
801 5TH St
Sioux City, IA 51101-1399
Phone
(712) 279-2010
NPI assigned
Mar 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X PENDING IA Primary

Addresses

Primary practice location

801 5TH St
Sioux City, IA 51101-1399

Mailing address

301 Fieldstone CT
Jefferson, SD 57038-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190430001919 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789926320 Reassigns benefits to 2 organizations
I20241008003966 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789926320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

909 N Iowa Ave
Dell Rapids, SD 57022-1231
Phone (605) 428-5431

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
PENDINGIAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Iowa Hospital Corporation CurrentSince Sep 1, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
MHC Anesthesia Services CurrentSince Apr 1, 2019 Accepting new patients
Avera McKennan CurrentSince Aug 19, 2024 Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2024 Accepting new patients

Locations

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

400 10th St E
Waconia, MN 55387

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

Organizations & group practices 5

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1124586250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FIELDSTONE CT",
            "city": "JEFFERSON",
            "state": "SD",
            "postal_code": "570386890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011399",
            "telephone_number": "712-279-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.

Verify at the official NPI Registry.