Individual provider Active NPI

David F Manke, CRNA

  • Certified Registered Nurse Anesthetist
  • Sidney, NE
National Provider Identifier
1992123582
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CR000918 Issued in SD
Practice address
645 Osage St
Sidney Regional Medical Center
Sidney, NE 69162-1714
Phone
(308) 254-5825
Fax
(308) 254-7258
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X R036618 SD
Anesthesiology Physician 207L00000X 101240 NE
Certified Registered Nurse Anesthetist 367500000X CR000918 SD Primary

Addresses

Primary practice location

645 Osage St
Sidney Regional Medical Center
Sidney, NE 69162-1714

Mailing address

645 Osage St
Sidney, NE 69162-1714
Phone (308) 254-5825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140902001178 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880812916 Reassigns benefits to 1 organization
I20220519000481 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880812916 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9165

Hospital & facility affiliations

  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2029MNMDMental Health Counselor
R036618SDMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Avera Tyler CurrentSince May 11, 2024 Accepting new patients
CCM Health CurrentSince Apr 15, 2024 Accepting new patients
Avera Tyler Current Accepting new patients
Avera Marshall CurrentSince Apr 1, 2022 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Jan 31, 2022 Accepting new patients
Avera Granite Falls Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
CCM Health CurrentSince Apr 15, 2024 Accepting new patients
Avera Marshall CurrentSince Apr 1, 2022 Accepting new patients
Avera Granite Falls Current Accepting new patients

Locations

345 10th Ave
Granite Falls, MN 56241
Phone (320) 564-3111

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

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

Interoperability endpoints

  • Direct secure messaging: dmanke805085@direct.centracare.com

Organizations & group practices 10

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 1

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1992123582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 OSAGE ST",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621714",
            "telephone_number": "308-254-5825",
            "fax_number": "308-254-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 OSAGE ST",
            "address_2": "SIDNEY REGIONAL MEDICAL CENTER",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621714",
            "telephone_number": "308-254-5825",
            "fax_number": "308-254-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKE",
        "first_name": "DAVID",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "SD",
            "license": "R036618",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "101240",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.