Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly M Bouma, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1255630570

Kelly M Bouma, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Rapid City, South Dakota. Qualified in 2011, 15 years ago. Practices with Black Hills Regional Eye Surgery Center LLC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
15
Licensed in
ND
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

2800 3rd St
Rapid City, SD 57701-7374
Phone: (605) 341-2000
Fax: (605) 341-0278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 857-5000
  • 1 Burdick Expy W, Minot, ND 58701-4406 — (701) 857-5124

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R36162 (ND)

Record details

NPI number1255630570
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 25, 2011
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Black Hills Regional Eye Surgery Center Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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