Individual provider Active NPI

Tracy Huntington, CRNA

  • Certified Registered Nurse Anesthetist
  • Sisseton, SD
National Provider Identifier
1225297724
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R30191 Issued in ND
Practice address
205 Orchard Dr
Sisseton, SD 57262-2312
Phone
(605) 698-4665
Fax
(605) 698-6401
NPI assigned
Jun 9, 2008
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CR000703 SD
Certified Registered Nurse Anesthetist 367500000X R30191 ND Primary

Addresses

Primary practice location

205 Orchard Dr
Sisseton, SD 57262-2312

Mailing address

PO Box 6001
Fargo, ND 58108-6001
Phone (701) 364-8000

Other practice location 1

3000 32nd Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

Other identifiers 1

IdentifierTypeStateIssuer
16460MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080724000685 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426121781 Reassigns benefits to 5 organizations
I20231218001373 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426121781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coteau Des Prairies HospitalGroup PAC ID 8022926468, 11 clinicians

Practice addresses (Care Compare)

205 Orchard Dr
Sisseton, SD 57262-2312
Phone (605) 698-7647

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
72.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CR000703SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Feb 26, 2024 Accepting new patients
Huron Regional Medical Center Inc CurrentSince Jul 27, 2024 Accepting new patients
Sanford Health Network CurrentSince Dec 29, 2015 Accepting new patients
Coteau Des Prairies Hospital CurrentSince Feb 6, 2025 Accepting new patients
Coteau Des Prairies Hospital Current Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Sanford Health Network CurrentSince Dec 29, 2015 Accepting new patients
Coteau Des Prairies Hospital CurrentSince Feb 6, 2025 Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

2905 3rd Ave SE
Aberdeen, SD 57401
Phone (605) 226-5500

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1225297724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581086001",
            "telephone_number": "701-364-8000",
            "fax_number": "701-364-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ORCHARD DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622312",
            "telephone_number": "605-698-4665",
            "fax_number": "605-698-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 32nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036132",
            "country_code": "US",
            "telephone_number": "701-364-8000",
            "fax_number": "701-364-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTINGTON",
        "first_name": "TRACY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000703",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R30191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16460",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.