Black Hills Regional Eye Surgery Center, LLC
NPI 1174654081 · Certified Registered Nurse Anesthetist · Rapid City, SD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Hills Regional Eye Surgery Center, LLC is a Certified Registered Nurse Anesthetist organization in Rapid City, SD (NPI 1174654081).
Provider details
- NPI number
- 1174654081
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jodi Anderson, Chief Financial Officer(605) 341-2000
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Black Hills Regional Surgery Anesthesia
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Frequently asked questions
- What is Black Hills Regional Eye Surgery Center, LLC's NPI number?
- Black Hills Regional Eye Surgery Center, LLC's National Provider Identifier (NPI) is 1174654081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Hills Regional Eye Surgery Center, LLC?
- Black Hills Regional Eye Surgery Center, LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Black Hills Regional Eye Surgery Center, LLC located?
- Black Hills Regional Eye Surgery Center, LLC's practice location on file with NPPES is 2800 3rd St, Rapid City, SD 57701-7374.
- What is Black Hills Regional Eye Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Hills Regional Eye Surgery Center, LLC is (605) 341-2000.
- Does Black Hills Regional Eye Surgery Center, LLC accept Medicare?
- Black Hills Regional Eye Surgery Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Hills Regional Eye Surgery Center, LLC?
- The authorized official listed on Black Hills Regional Eye Surgery Center, LLC's NPPES record is Jodi Anderson, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Hills Regional Eye Surgery Center, LLC's NPI active?
- Yes — Black Hills Regional Eye Surgery Center, LLC's NPI (1174654081) is active in the NPPES registry as of the last update on 2024-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.