Individual provider Active NPI

Kelly R Stokes, CRNA

  • Certified Registered Nurse Anesthetist
  • Dakota Dunes, SD
National Provider Identifier
1548423486
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D108426 Issued in IA
Practice address
600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone
(605) 242-7246
Fax
(605) 242-3474
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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 D108426 IA Primary

Addresses

Primary practice location

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000

Mailing address

PO Box 848
Sioux Falls, SD 57101-0848
Phone (605) 339-6525

Other names 1

  • Kelly R Blankenship Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091023000388 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264506542 Reassigns benefits to 1 organization
I20200911000111 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264506542 Reassigns benefits to 1 organization

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
Siouxland Anesthesiology LTDGroup PAC ID 2668453069, 34 clinicians

Practice addresses (Care Compare)

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (605) 242-7246

Hospital & facility affiliations

  • Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D108426IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Anesthesiology, LTD Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2009 Accepting new patients
Greater Siouxland Anesthesiology & Pain Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

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

101 Tower Rd
Ste 201
North Sioux City, SD 57049
Phone (605) 232-3332

600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320

Organizations & group practices 2

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 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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1548423486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571010848",
            "telephone_number": "605-339-6525",
            "fax_number": "605-339-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495000",
            "telephone_number": "605-242-7246",
            "fax_number": "605-242-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "KELLY",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D108426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BLANKENSHIP",
            "middle_name": "R",
            "credential": "BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.