NPIMap

Individual provider Active NPI

Scott J Raabe, CRNA

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
National Provider Identifier
1700898657
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R030947-0599 Issued in SD
Practice address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone
(605) 322-2754
Fax
(605) 322-2727
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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 R030947-0599 SD Primary

Addresses

Primary practice location

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Mailing address

1325 S Cliff Ave
PO Box 5045 Attn: PT Financial Services
Sioux Falls, SD 57105-1007
Phone (605) 322-6400

Other identifiers 8

IdentifierTypeStateIssuer
1700898657OtherWELLMARK BCBS TRICARE - AVERA FLANDREAU HOSPITAL
171613100MedicaidMN
5754730MedicaidSD
1700898657MedicaidIA
R030947OtherSDDAKOTACARE
0100212OtherSDSD BLUE CROSS PROV #
174P1RAOtherMNMN BLUE CROSS PROV #
460224743-48MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000066 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951356492 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
City of BrookingsGroup PAC ID 1052307105, 112 clinicians
Ophthalmology LTD Eye Surgery Center L L CGroup PAC ID 1557357175, 9 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2114

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351

6100 S Louise Ave
Sioux Falls, SD 57108-6029

6601 S Minnesota Ave
Suite 100
Sioux Falls, SD 57108-2564
Phone (605) 336-6294

909 N Iowa Ave
Dell Rapids, SD 57022-1231
Phone (605) 428-5431

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Brookings Health System Hospital, Brookings, SD, CCN 430008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R030947-0599SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Lakes Health Care System Inc CurrentSince Apr 21, 2018 Accepting new patients
City of Brookings CurrentSince Jun 3, 2020 Accepting new patients
Ophthalmology LTD Eye Surgery Center L L C CurrentSince Jun 1, 2023 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Jan 15, 2023 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Jan 15, 2023 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Apr 21, 2018 Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Oct 27, 2004 Accepting new patients
Avera McKennan CurrentSince Oct 27, 2004 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

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

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

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

6601 S Minnesota Ave
Ste 100
Sioux Falls, SD 57108
Phone 6053366294630

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

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 and National Provider Directory roles.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1700898657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S CLIFF AVE",
            "address_2": "PO BOX 5045 ATTN: PT FINANCIAL SERVICES",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051007",
            "telephone_number": "605-322-6400",
            "fax_number": "605-322-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051007",
            "telephone_number": "605-322-2754",
            "fax_number": "605-322-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAABE",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "R030947-0599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS TRICARE - AVERA FLANDREAU HOSPITAL",
            "identifier": "1700898657",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171613100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5754730",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700898657",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "R030947",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BLUE CROSS PROV #",
            "identifier": "0100212",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE CROSS PROV #",
            "identifier": "174P1RA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460224743-48",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.