Active NPI
Roger W Meinen, CRNA
- Certified Registered Nurse Anesthetist
- Yankton, SD
National Provider Identifier
1780699488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 021848
- Practice address
- 2601 Fox Run Pkwy
Yankton, SD 57078-5341 - Phone
- (605) 664-5050
- Fax
- (605) 664-5051
- NPI assigned
- Jul 30, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R014067 | SD | |
| Certified Registered Nurse Anesthetist | 367500000X | 021848 | SD | Primary |
Addresses
Primary practice location
2601 Fox Run Pkwy
Yankton, SD 57078-5341
Mailing address
307 Walnut St
Suite C
Yankton, SD 57078-4361
Phone (605) 664-5050
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020584922 | Medicaid | NE | |
| 35254 | Other | SD | MIDLANDS CHOICE |
| 4993763 | Other | SD | BLUE CROSS BLUE SHIELD |
| 5750832 | Medicaid | SD | |
| 9220266 | Other | SD | DAKOTACARE |
| P00435823 | Other | SD | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R014067 | SD | MD | Registered Nurse |
| 021848 | SD | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1780699488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 WALNUT ST",
"address_2": "SUITE C",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784361",
"telephone_number": "605-664-5050",
"fax_number": "605-664-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 FOX RUN PKWY",
"city": "YANKTON",
"state": "SD",
"postal_code": "570785341",
"telephone_number": "605-664-5050",
"fax_number": "605-664-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEINEN",
"first_name": "ROGER",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "R014067",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "021848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020584922",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "35254",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4993763",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5750832",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "9220266",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00435823",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.