Individual provider Active NPI

Joseph Werner, CRNA

  • Certified Registered Nurse Anesthetist
  • Rapid City, SD
National Provider Identifier
1649265018
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CR000379 Issued in SD
Practice address
240 Minnesota St
Rapid City, SD 57701-6200
Phone
(605) 381-2550
Fax
(605) 348-6146
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 CR000379 SD Primary

Addresses

Primary practice location

240 Minnesota St
Rapid City, SD 57701-6200

Mailing address

240 Minnesota St
Rapid City, SD 57701-6200
Phone (605) 381-2550

Other identifiers 1

IdentifierTypeStateIssuer
5751003MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000253 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072504901 Reassigns benefits to 6 organizations
Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians

Practice addresses (Care Compare)

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 721-4700

Hospital & facility affiliations

  • Black Hills Surgical Hospital LLC Hospital, Rapid City, SD, CCN 430091
  • Avera Gregory Hospital Hospital, Gregory, SD, CCN 431338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CR000379SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Regional Eye Surgery Center, LLC CurrentSince Apr 5, 2021 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Jul 30, 2023 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Jul 30, 2023 Accepting new patients
Peloton Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Black Hills Regional Eye Surgery Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 5, 2021 Accepting new patients
Whispering Pines Anesthesia Services Nurse Anesthetist, Certified Registered PastSince Jun 13, 2012 Accepting new patients
Black Hills Surgical Hospital, LLP Past Accepting new patients
Anesthesia Group of Grand Island PC Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

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

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

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

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

Organizations & group practices 11

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1649265018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016200",
            "telephone_number": "605-381-2550",
            "fax_number": "605-348-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016200",
            "telephone_number": "605-381-2550",
            "fax_number": "605-348-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "JOSEPH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5751003",
            "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 Jun 12, 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.