Individual provider Active NPI

Catherine Ann Wilson, CRNA

  • Certified Registered Nurse Anesthetist
  • Hot Springs, SD
National Provider Identifier
1578630752
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CR000635 Issued in SD
Practice address
1201 Highway 71 S
Hot Springs, SD 57747-8800
Phone
(605) 661-6979
NPI assigned
Nov 30, 2006
Last updated
May 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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 CR000635 SD Primary
Certified Registered Nurse Anesthetist 367500000X 101135 NE

Addresses

Primary practice location

1201 Highway 71 S
Hot Springs, SD 57747-8800

Mailing address

5637 Blue Stem CT
Rapid City, SD 57702-8990
Phone (605) 661-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000631 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092721746 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 Minnesota St
Rapid City, SD 57701-6200
Phone 6057185123189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101135NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Surgical Hospital, LLC CurrentSince Jun 26, 2017 Accepting new patients
Black Hills Regional Eye Surgery Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2014 Accepting new patients
Black Hills Anesthesia, Prof. L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Black Hills Regional Eye Surgery Center, LLC CurrentSince Apr 1, 2014 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Jun 1, 2021 Accepting new patients
CHI Health Clinic Specialty, LLC Past Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Siouxland Anesthesiology, LTD Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900

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

240 Minnesota St
Rapid City, SD 57701
Phone (605) 718-5123

2800 3rd St
Rapid City, SD 57701
Phone (605) 341-2000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1578630752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 BLUE STEM CT",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028990",
            "telephone_number": "605-661-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 71 S",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577478800",
            "telephone_number": "605-661-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000635",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.