Individual provider Active NPI

Angela Marie Kent, CRNA

  • Certified Registered Nurse Anesthetist
  • Spearfish, SD
National Provider Identifier
1861735730
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CR000824 Issued in SD
Practice address
1440 N Main St
Spearfish, SD 57783-1505
Phone
(605) 644-4004
Fax
(605) 644-4006
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R036715 SD
Certified Registered Nurse Anesthetist 367500000X CR000824 SD Primary

Addresses

Primary practice location

1440 N Main St
Spearfish, SD 57783-1505

Mailing address

353 Fairmont Blvd
Atten Christie MSS
Rapid City, SD 57701-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WY, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130529000368 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173761426 Reassigns benefits to 2 organizations
I20211115002440 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173761426 Reassigns benefits to 3 organizations
I20231007000594 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173761426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians
Teton County Hospital DistrictGroup PAC ID 4880582295, 107 clinicians

Practice addresses (Care Compare)

1316 N 10TH St
Spearfish, SD 57783-1530
Phone (605) 642-3113

1440 N Main St
Spearfish, SD 57783-1505
Phone (605) 644-4000

625 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 733-3636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CR000824SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Converse County CurrentSince Sep 8, 2024 Accepting new patients
St Vincent Hospital Current Accepting new patients
Monument Health Network, Inc. CurrentSince May 10, 2014 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Network, Inc. CurrentSince May 10, 2014 Accepting new patients
Teton County Hospital District CurrentSince Nov 19, 2021 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Sep 3, 2023 Accepting new patients
Memorial Hospital of Converse County Current Accepting new patients
St. Vincent Hospital CurrentSince Sep 15, 2023 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Sep 3, 2023 Accepting new patients
St Vincent Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2023 Accepting new patients

Locations

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900

1316 N 10th St
Spearfish, SD 57783
Phone (605) 642-3113

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

Organizations & group practices 12

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1861735730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN CHRISTIE MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N MAIN ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831505",
            "telephone_number": "605-644-4004",
            "fax_number": "605-644-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "R036715",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.