Individual provider Active NPI

Michael J Bevers

  • Certified Registered Nurse Anesthetist
  • Shawnee Mission, KS
National Provider Identifier
1962727339
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
556949 Issued in KS
Practice address
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone
(913) 676-2679
Fax
(913) 789-3191
NPI assigned
Mar 29, 2010
Last updated
May 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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 556949 KS Primary
Registered Nurse 163W00000X 14-110858-102 KS

Addresses

Primary practice location

9100 W 74TH St
Shawnee Mission, KS 66204-4004

Mailing address

15438 W 128TH St
Olathe, KS 66062-5998
Phone (507) 272-1629

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000832 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224166673 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of RedfieldGroup PAC ID 5698757631, 12 clinicians
Ophthalmology LTD Eye Surgery Center L L CGroup PAC ID 1557357175, 9 clinicians

Practice addresses (Care Compare)

Huron, SD 57350
Phone (605) 353-6593

111 W 10TH Ave
Redfield, SD 57469-1519
Phone (605) 475-7402

1512 4TH St NE
Watertown, SD 57201-6824
Phone (507) 272-1629

401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.59 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
85.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14-110858-102KSMDRegistered Nurse
556949KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Registered Nurse Current Accepting new patients
Huron Regional Medical Center Inc CurrentSince Dec 3, 2025 Accepting new patients
City of Redfield CurrentSince Jan 8, 2025 Accepting new patients
Huron Regional Medical Center, Inc CurrentSince Dec 3, 2025 Accepting new patients
City of Redfield CurrentSince Jan 8, 2025 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Sanford Health Network CurrentSince May 5, 2025 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Aug 2, 2010 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Aug 2, 2010 Accepting new patients
Sanford Health Network CurrentSince May 5, 2025 Accepting new patients
Glacial Lakes Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Ophthalmology LTD Eye Surgery Center L L C CurrentSince Jan 1, 2026 Accepting new patients
Midwest Anesthesia Associates, PA Registered Nurse Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

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

1010 W 1st St
Redfield, SD 57469
Phone (605) 472-0510

111 W 10th Ave
Redfield, SD 57469
Phone (605) 472-1110

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

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

1512 4th St NE
Watertown, SD 57201
Phone (605) 520-7054

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

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 4

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1962727339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15438 W 128TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625998",
            "telephone_number": "507-272-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-676-2679",
            "fax_number": "913-789-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "556949",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-110858-102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.