Kevin Daniel Roark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Watertown, SD

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Kevin Daniel Roark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Watertown, South Dakota. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Huron Regional Medical Center Inc, Prairie Lakes Health Care System Inc, Siouxland Anesthesiology Ltd, Avera St Marys and his current practice location is 401 9th Ave Nw, Watertown, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 882-7000.

Kevin Daniel Roark is licensed to practice in South Dakota (license number CR000762) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023398898.

Contact Information

Kevin Daniel Roark, CRNA
401 9th Ave Nw,
Watertown, SD 57201-1548
(605) 882-7000
Not Available

Map and Direction




Provider's Profile

Full NameKevin Daniel Roark
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location401 9th Ave Nw, Watertown, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Daniel Roark graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1023398898
  • Provider Enumeration Date: 08/24/2011
  • Last Update Date: 03/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5395919450
  • Enrollment ID: I20111129000733

Medical Identifiers

Medical identifiers for Kevin Daniel Roark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023398898NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CR000762 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera St Mary's HospitalPierre, SDHospital
Prairie Lakes Healthcare System, IncWatertown, SDHospital
Dunes Surgical HospitalDakota dunes, SDHospital
Huron Regional Medical CenterHuron, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Huron Regional Medical Center Inc276939338844
Prairie Lakes Health Care System Inc8628987823125
Siouxland Anesthesiology Ltd266845306934
Avera St Marys014313496595

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. Kevin Daniel Roark allows following entities to bill medicare on his behalf.
Entity NameAvera St Marys
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669457180
PECOS PAC ID: 0143134965
Enrollment ID: O20040225000579
Entity NameAvera Gettysburg
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1003887266
PECOS PAC ID: 4284619362
Enrollment ID: O20061104000319

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. Kevin Daniel Roark 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
Kevin Daniel Roark, CRNA
401 9th Ave Nw,
Watertown, SD 57201-1548

Ph: (605) 882-7000		Kevin Daniel Roark, CRNA
401 9th Ave Nw,
Watertown, SD 57201-1548

Ph: (605) 882-7000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Watertown, SD

Jared Damian Murphy, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 9th Ave Nw, Watertown, SD 57201
Phone: 605-882-7000    
Henry P Voss, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 9th Ave Nw, Watertown, SD 57201
Phone: 605-882-7000    Fax: 605-882-7636
Mark E Schulz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 9th Ave Nw, Watertown, SD 57201
Phone: 605-882-7000    Fax: 605-882-7636
Austin Dale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 9th Ave Nw, Watertown, SD 57201
Phone: 605-882-7000    
Keith A Wanner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 9th Ave Nw, Watertown, SD 57201
Phone: 605-882-7000    Fax: 605-882-7819
Paul A Tobin, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 9th Ave Nw, Watertown, SD 57201
Phone: 605-882-7000    Fax: 605-882-7636

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.