Active NPI
Barry J. Degen, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CR000449
- Practice address
- 353 Fairmont Blvd
Rapid City, SD 57701 - Phone
- (605) 719-1000
- NPI assigned
- Sep 30, 2006
- Last updated
- Jan 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NE
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0449 | SD | MD | Physician Assistant |
| 50981 | SD | MD | Certified Registered Nurse Anesthetist |
| CR000449 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera St Marys | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Chadron Community Hospital Corp. | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients | |
| Avera McKennan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Avera St Marys | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| J R Anesthesia Prof LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Peloton Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West River Anesthesiology Consultants PC | Past | Accepting new patients | |
| Plastic Surgical Center of Rapid City, Prof. L.L.C. | Past | 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.
-
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1790066363
Nurse Anesthetist, Certified Registered
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Monument Health Behavioral Health Center
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1912596545
Nurse Anesthetist, Certified Registered
-
dba Chadron Community Hospital and Health Services
- Critical Access Hospital
- Chadron, NE
- NPI 1467675629
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera McKennan Hospital CRNA
- Certified Registered Nurse Anesthetist
- Sioux Falls, SD
- NPI 1568662872
Nurse Anesthetist, Certified Registered
-
dba Avera St Marys Hospital ER CRNA
- Emergency Medicine Physician
- Pierre, SD
- NPI 1073305496
Nurse Anesthetist, Certified Registered
-
dba Monument Health Rapid Valley Clinic
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
dba Monument Health Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rapid City, SD
- NPI 1487621116
-
- Ambulatory Surgical Clinic/Center
- Rapid City, SD
- NPI 1760465207
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gordon Memorial Hospital Physical Therapy
- Critical Access Hospital
- Gordon, NE
- NPI 1174504849
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.