NPIMap

Individual provider Active NPI

Paul D Beninga, CRNA

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
National Provider Identifier
1760415640
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R023547 Issued in SD
Practice address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone
(605) 322-2754
Fax
(605) 322-2727
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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 R023547 SD Primary

Addresses

Primary practice location

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Mailing address

PO Box 5045
C.B.O. Prov Enrollmt
Sioux Falls, SD 57117-5045
Phone (605) 322-2754

Other identifiers 8

IdentifierTypeStateIssuer
5750954MedicaidSD
5750955MedicaidSD
006965500MedicaidMN
013K7BEOtherMNMN BCBS PROV#
460224743-48MedicaidNE
0006253OtherSDSD BLUE CROSS IND #
0030016OtherSDSD BLUE CROSS GROUP#
0573493MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080813000004 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880769751 Reassigns benefits to 3 organizations
I20090717000150 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880769751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0373SDMDPhysician Assistant
R023547SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Laboratory SVC PC Current Accepting new patients
Sanford Health Network CurrentSince Jan 1, 2015 Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 1999 Accepting new patients
Heart Hospital of South Dakota LLC CurrentSince Jun 14, 2014 Accepting new patients
Northwest Iowa Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2017 Accepting new patients
Sanford Health Network Current Accepting new patients
Avera McKennan Current Accepting new patients
Huron Regional Medical Center Inc CurrentSince Nov 29, 2011 Accepting new patients
Heart Hospital of South Dakota LLC CurrentSince Jun 14, 2014 Accepting new patients

Locations

826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041

1721 W 18th St
Spencer, IA 51301
Phone (712) 262-8878

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

400 10th St E
Waconia, MN 55387

1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921

1216 Ryans Rd
#2
Worthington, MN 56187
Phone (507) 372-6680

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

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

4500 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-7000

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

Interoperability endpoints

  • Direct secure messaging: pbeninga502807@direct.centracare.com

Organizations & group practices 9

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1760415640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5045",
            "address_2": "C.B.O. PROV ENROLLMT",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175045",
            "telephone_number": "605-322-2754",
            "fax_number": "605-322-2727"
        },
        {
            "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": "BENINGA",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "R023547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5750954",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5750955",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006965500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS PROV#",
            "identifier": "013K7BE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460224743-48",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BLUE CROSS IND #",
            "identifier": "0006253",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BLUE CROSS GROUP#",
            "identifier": "0030016",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0573493",
            "state": "IA"
        }
    ],
    "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 9, 2014; 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.