Active NPI
Cody W Bekkerus
- Certified Registered Nurse Anesthetist
- West Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CR001195
- Practice address
- 1743 Huntington CT
West Fargo, ND 58078-4302 - Phone
- (701) 388-5142
- NPI assigned
- Jul 10, 2023
- 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 | CR001195 | SD | Primary |
| Registered Nurse | 163W00000X | R45055 | ND |
Addresses
Primary practice location
1743 Huntington CT
West Fargo, ND 58078-4302
Mailing address
126239 N Bridge Rd
Aberdeen, SD 57401-8686
Phone (701) 388-5142
Other practice location 1
305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100
Hospital & facility affiliations
- Avera St Lukes
- Marshall County Healthcare Center - Cah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R45055 | ND | MD | Registered Nurse |
| CR001195 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St. Luke'S | Current | Accepting new patients | |
| Avera St Lukes | Current | Accepting new patients | |
| Avera St. Lukes | Current | Accepting new patients |
Locations
305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Aberdeen, SD
- NPI 1215100813
-
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1457309270
-
- Nephrology Physician
- Aberdeen, SD
- NPI 1477594430
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1457309270
-
- Critical Access Hospital
- Britton, SD
- NPI 1558360388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1740968759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126239 N BRIDGE RD",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574018686",
"telephone_number": "701-388-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1743 HUNTINGTON CT",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580784302",
"telephone_number": "701-388-5142"
}
],
"practiceLocations": [
{
"address_1": "305 S State St",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "SD",
"postal_code": "574014527",
"country_code": "US",
"telephone_number": "605-622-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEKKERUS",
"first_name": "CODY",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "CR001195",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R45055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.