Individual provider Active NPI

Adam N Wollman, CRNA

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
National Provider Identifier
1316513229
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
132401 Issued in SD
Practice address
910 E 20TH St
Sioux Falls, SD 57105-1012
Phone
(605) 334-6730
NPI assigned
Jun 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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 132401 SD Primary

Addresses

Primary practice location

910 E 20TH St
Sioux Falls, SD 57105-1012

Mailing address

PO Box 2756
Sioux Falls, SD 57101-2756
Phone (605) 338-7098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210629001863 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436550373 Reassigns benefits to 2 organizations
I20230830001789 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436550373 Reassigns benefits to 1 organization
I20240322001402 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436550373 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Iowa Anesthesia AssociatesGroup PAC ID 3274424932, 10 clinicians

Practice addresses (Care Compare)

1200 1St Ave E
Spencer, IA 51301-4342
Phone (712) 264-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132401SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Falls Specialty Hospital, LLP CurrentSince Jan 15, 2023 Accepting new patients
Greater Siouxland Anesthesiology & Pain Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Jan 15, 2023 Accepting new patients
Northwest Iowa Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Avera Holy Family Current Accepting new patients
MHC Anesthesia Services CurrentSince Aug 1, 2024 Accepting new patients
Pax PLLC PastSince Jul 1, 2021 Accepting new patients

Locations

3201 1st St
Emmetsburg, IA 50536
Phone (712) 852-5500

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

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

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

400 10th St E
Waconia, MN 55387

201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160

317 Dakota Dunes Blvd
Ste G
Dakota Dunes, SD 57049
Phone (712) 251-6445

7600 S Minnesota Ave
Ste 202
Sioux Falls, SD 57108

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

4928 N Cliff Ave
Sioux Falls, SD 57104
Phone (605) 444-8820

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.

Hospital & facility affiliations 2

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": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1316513229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2756",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571012756",
            "telephone_number": "605-338-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051012",
            "telephone_number": "605-334-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLMAN",
        "first_name": "ADAM",
        "middle_name": "N",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "132401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.