Kelly M Bouma, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Rapid City, SD

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Kelly M Bouma, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rapid City, South Dakota. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Black Hills Regional Eye Surgery Center Llc and her current practice location is 2800 3rd St, Rapid City, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 341-2000.

Kelly M Bouma is licensed to practice in North Dakota (license number R36162) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255630570.

Contact Information

Kelly M Bouma, CRNA
2800 3rd St,
Rapid City, SD 57701-7374
(605) 341-2000
(605) 341-0278

Map and Direction




Provider's Profile

Full NameKelly M Bouma
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location2800 3rd St, Rapid City, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly M Bouma graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1255630570
  • Provider Enumeration Date: 03/25/2011
  • Last Update Date: 12/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345425518
  • Enrollment ID: I20130422000026

Medical Identifiers

Medical identifiers for Kelly M Bouma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255630570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R36162 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Black Hills Regional Eye Surgery Center Llc71139092014

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. Kelly M Bouma allows following entities to bill medicare on her behalf.
Entity NameBlack Hills Regional Eye Surgery Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174654081
PECOS PAC ID: 7113909201
Enrollment ID: O20040602001563
Entity NameBlack Hills Surgical Hospital Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972630275
PECOS PAC ID: 5496742835
Enrollment ID: O20050616000485
Entity NameBlack Hills Regional Eye Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1346220183
PECOS PAC ID: 7113909201
Enrollment ID: O20090625000089

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. Kelly M Bouma 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
Kelly M Bouma, CRNA
Po Box 5010,
Minot, ND 58702-5010

Ph: (701) 418-8000		Kelly M Bouma, CRNA
2800 3rd St,
Rapid City, SD 57701-7374

Ph: (605) 341-2000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Rapid City, SD

Dawn Jo Zastoupil, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57501
Phone: 605-755-1000    
Patrick Staedtler,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-755-1000    
Joseph W Amo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-719-1000    
Jessica Anne Newman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-719-1000    
Karen A Bryant, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd., Rapid City, SD 57701
Phone: 605-719-1000    
Mr. Peter Schwiesow, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 216 Anamaria Dr, Rapid City, SD 57701
Phone: 606-721-4700    
Katie Kristine Bates, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-719-1000    Fax: 605-719-7884

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.