Jeremy Poulsen, DO

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

7794 Issued in SD

Practice address

101 Tower Rd
Dakota Dunes, SD 57049-5007

Phone

(605) 217-7246

Fax

(605) 217-4878

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD, IA, UT3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Anesthesiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain West Anesthesia LLCGroup PAC ID 9032018502, 267 clinicians

Anesthesia Consultants PCGroup PAC ID 6103716626, 20 clinicians

Dunes Anesthesia PCGroup PAC ID 9537141254, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Medical Center Hospital, Murray, UT, CCN 460010
• Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089
• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

82.54

Promoting interoperability

89.05

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Anesthesia Consultants PC

  • Anesthesiology Physician
  • Sioux City, IA
  • NPI 1497854574
  Medicare reassignment Care Compare group NPD
• Mountain West Anesthesia LLC

  • Anesthesiology Physician
  • Lehi, UT
  • NPI 1558391763
  Medicare reassignment Care Compare group NPD
• Dunes Anesthesia PC

  • Pain Medicine (Anesthesiology) Physician
  • Dakota Dunes, SD
  • NPI 1801810585

  IA

  Medicare reassignment Care Compare group
• MHC Anesthesia Services

  • Anesthesiology Physician
  • Sioux City, IA
  • NPI 1639244270
  Medicare reassignment NPD
• Siouxland Anesthesiology, LTD

  • Pain Medicine (Anesthesiology) Physician
  • Dakota Dunes, SD
  • NPI 1669496337
  Medicare reassignment

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

• Siouxland Surgery Center Limited Liability Partnership

  • Special Hospital
  • Dakota Dunes, SD
  • NPI 1093714073
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650
  Care Compare affiliation
• Northwest Iowa Hospital Corporation

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare affiliation

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1992826838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495007",
            "telephone_number": "605-217-7246",
            "fax_number": "605-217-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495007",
            "telephone_number": "605-217-7246",
            "fax_number": "605-217-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSEN",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A9945",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SD",
            "license": "7794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00454461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnalyn Sallise Platt, LPN
• Sarah Plueger, PA-C
• Mackenzie Poeschl
• Gordon Allan Porter, MD
• Amanda Kaye Pospischil, NP
• Sarah P Powell, M.D.
• John B Pracyk, MD, PHD, MBA
• Thomas George Pratt, O.D.
• Kevin L. Preston, D.O.
• Jessica A Prewitt-Emerson, PA-C

• Pain Medicine (Anesthesiology) Physician in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Pain Medicine (Anesthesiology) Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.