Individual provider Active NPI

Barry J. Degen, CRNA

  • Certified Registered Nurse Anesthetist
  • Rapid City, SD
National Provider Identifier
1699868919
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CR000449 Issued in SD
Practice address
353 Fairmont Blvd
Rapid City, SD 57701
Phone
(605) 719-1000
NPI assigned
Sep 30, 2006
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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 50981 SD
Certified Registered Nurse Anesthetist 367500000X CR000449 SD Primary

Addresses

Primary practice location

353 Fairmont Blvd
Rapid City, SD 57701

Mailing address

353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100609001013 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698805190 Reassigns benefits to 5 organizations
I20251218003055 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698805190 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
J R Anesthesia Prof LLCGroup PAC ID 7911165071, 2 clinicians

Practice addresses (Care Compare)

3615 5TH St
Suite 100
Rapid City, SD 57701-7360
Phone (605) 343-6714

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0449SDMDPhysician Assistant
50981SDMDCertified Registered Nurse Anesthetist
CR000449SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Dec 18, 2015 Accepting new patients
Avera St Marys Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2021 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince May 3, 2010 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Chadron Community Hospital Corp. CurrentSince Nov 10, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince May 3, 2010 Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Dec 18, 2015 Accepting new patients
Avera St Marys CurrentSince Mar 17, 2021 Accepting new patients
Avera McKennan Current Accepting new patients
J R Anesthesia Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Peloton Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
West River Anesthesiology Consultants PC Past Accepting new patients
Plastic Surgical Center of Rapid City, Prof. L.L.C. PastSince Mar 1, 2018 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

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

3615 5th St
Ste 100
Rapid City, SD 57701
Phone (605) 343-6714

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

Organizations & group practices 13

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.

View all 13

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1699868919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN MEDICAL STAFF SERVICES",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016000"
        },
        {
            "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": "57701",
            "telephone_number": "605-719-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEN",
        "first_name": "BARRY",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "50981",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000449",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 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.