Individual provider Active NPI

Preston Wilbert Huber, CRNA

  • Certified Registered Nurse Anesthetist
  • Bismarck, ND
National Provider Identifier
1629433982
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R33380 Issued in ND
Practice address
718 San Angelo Dr
Bismarck, ND 58504-7440
Phone
(605) 848-3725
NPI assigned
Dec 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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 R33380 ND Primary

Addresses

Primary practice location

718 San Angelo Dr
Bismarck, ND 58504-7440

Mailing address

718 San Angelo Dr
Bismarck, ND 58504-7440
Phone (605) 848-3725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160204001511 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123322500 Reassigns benefits to 2 organizations
I20210204002903 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123322500 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R33380NDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Mobridge Regional Hospital Current Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Feb 9, 2016 Accepting new patients
Mobridge Regional Hospital CurrentSince Dec 1, 2025 Accepting new patients
Mobridge Regional Hospital CurrentSince Dec 1, 2025 Accepting new patients
701 Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Feb 9, 2016 Accepting new patients
Mobridge Regional Hospital Past Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

400 10th St E
Waconia, MN 55387

401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000

4784 Amber Valley Pkwy S
Fargo, ND 58104

1309 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

1401 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1629433982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SAN ANGELO DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047440",
            "telephone_number": "605-848-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SAN ANGELO DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047440",
            "telephone_number": "605-848-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "PRESTON",
        "middle_name": "WILBERT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R33380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.