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

Individual provider Certified Registered Nurse Anesthetist · NPI 1023398898

Kevin Daniel Roark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Watertown, South Dakota. Qualified in 2011, 15 years ago. Practices with Huron Regional Medical Center Inc, a 45-clinician group and accepts Medicare assignment. Licensed in South Dakota.

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

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Practice location Address checks out

401 9th Ave NW
Watertown, SD 57201-1548
Phone: (605) 882-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CR000762 (SD)

Record details

NPI number1023398898
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 24, 2011
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

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 Huron Regional Medical Center Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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