J R Anesthesia Prof LLC
NPI 1790066363 · 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)
J R Anesthesia Prof LLC is a Certified Registered Nurse Anesthetist organization in Rapid City, SD (NPI 1790066363).
Provider details
- NPI number
- 1790066363
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Barry Degen, Owner(605) 381-5104
Specialties & taxonomies
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
14 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
Registry dates
- Enumerated
- 2011-09-08
- Last updated
- 2020-01-16
- Certified
- 2020-01-16
Frequently asked questions
- What is J R Anesthesia Prof LLC's NPI number?
- J R Anesthesia Prof LLC's National Provider Identifier (NPI) is 1790066363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J R Anesthesia Prof LLC?
- J R Anesthesia Prof LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is J R Anesthesia Prof LLC located?
- J R Anesthesia Prof LLC's practice location on file with NPPES is 3615 5th St, Rapid City, SD 57701-6014.
- What is J R Anesthesia Prof LLC's phone number?
- The practice phone number listed in the NPPES registry for J R Anesthesia Prof LLC is (605) 343-6714.
- Does J R Anesthesia Prof LLC accept Medicare?
- J R Anesthesia Prof 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 J R Anesthesia Prof LLC?
- The authorized official listed on J R Anesthesia Prof LLC's NPPES record is Barry Degen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J R Anesthesia Prof LLC's NPI active?
- Yes — J R Anesthesia Prof LLC's NPI (1790066363) is active in the NPPES registry as of the last update on 2020-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.