Clark J Kruta, CRNA - Medicare Nurse Anesthetist, Certified Registered in Valley City, ND

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Clark J Kruta, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Valley City, North Dakota. His current practice location is 570 Chautauqua Blvd, Valley City, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 845-6522.

Clark J Kruta is licensed to practice in North Dakota (license number R21653) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205862273.

Contact Information

Clark J Kruta, CRNA
570 Chautauqua Blvd,
Valley City, ND 58072-3145
(701) 845-6522
(701) 845-6520

Map and Direction




Provider's Profile

Full NameClark J Kruta
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location570 Chautauqua Blvd, Valley City, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205862273
  • Provider Enumeration Date: 06/23/2006
  • Last Update Date: 04/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4284723461
  • Enrollment ID: I20110225000143

Medical Identifiers

Medical identifiers for Clark J Kruta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205862273NPI-NPPES
1454945MedicaidND
R21653OtherNDLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R21653 (North Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clark J Kruta allows following entities to bill medicare on his behalf.
Entity NameMercy Hospital Of Valley City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477549111
PECOS PAC ID: 8729997564
Enrollment ID: O20040701000086
Entity NameLisbon Area Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811168958
PECOS PAC ID: 4486562873
Enrollment ID: O20041008000975

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clark J Kruta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clark J Kruta, CRNA
251 4th Ave Nw,
Valley City, ND 58072-2931

Ph: (701) 845-9399		Clark J Kruta, CRNA
570 Chautauqua Blvd,
Valley City, ND 58072-3145

Ph: (701) 845-6522

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Valley City, ND

Craig A Wagamon, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 206 8th St Nw, Valley City, ND 58072
Phone: 701-550-9335    
Mr. Jeffrey Dale Schultz, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 570 Chautauqua Blvd, Valley City, ND 58072
Phone: 701-845-6400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.