NPIMap

Individual provider Active NPI

Kyle L Bohling, CRNA

  • Certified Registered Nurse Anesthetist
  • Rapid City, SD
National Provider Identifier
1497862692
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CR000563 Issued in SD
Practice address
353 Fairmont Blvd
Rapid City, SD 57701-7350
Phone
(605) 719-1000
Fax
(605) 719-1405
NPI assigned
Aug 24, 2006
Last updated
Sep 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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 CR000563 SD Primary

Addresses

Primary practice location

353 Fairmont Blvd
Rapid City, SD 57701-7350

Mailing address

353 Fairmont Blvd
Atten Christie MSS
Rapid City, SD 57701-7350
Phone (605) 719-1000

Other identifiers 1

IdentifierTypeStateIssuer
P00068668OtherSDRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031114000315 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719891761 Reassigns benefits to 2 organizations
I20181219002710 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719891761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Black Hills Surgical Hospital, LLC Current Accepting new patients
Mercy Medical Center Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Oct 1, 2018 Accepting new patients
Peloton Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Rapid City Regional Hospital Inc CurrentSince Jan 31, 2013 Accepting new patients
Black Hills Surgical Hospital, LLP Past Accepting new patients
Panhandle Anesthesia Associates PC Past Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

400 10th St E
Waconia, MN 55387

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1497862692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN CHRISTIE MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017350",
            "telephone_number": "605-719-1000",
            "fax_number": "605-719-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017350",
            "telephone_number": "605-719-1000",
            "fax_number": "605-719-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLING",
        "first_name": "KYLE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00068668",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.