| Nicholas Patrick Kummer, CRNA | |
| 
					401 W Glynn Dr, Parkston, SD 57366-9605  | |
| (605) 928-3311 | |
| Not Available | 
| Full Name | Nicholas Patrick Kummer | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 401 W Glynn Dr, Parkston, South Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124705462 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR001143 (South Dakota) | Primary | 
| Entity Name | Avera Queen Of Peace | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301  | 
| Entity Name | Sanford Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093090342 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388  | 
| Entity Name | Sacred Heart Health Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978  | 
| Entity Name | Avera St Marys | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579  | 
| Entity Name | Avera Queen Of Peace | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicholas Patrick Kummer, CRNA 408 N Bismark St, Parkston, SD 57366-2001 Ph: () -  | Nicholas Patrick Kummer, CRNA 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311  | 
Kenneth R Travnicek,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368  |