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

Mary Ticknor, DNAP

Individual provider Certified Registered Nurse Anesthetist · NPI 1881430163

Mary Ticknor, DNAP is a Certified Registered Nurse Anesthetist (CRNA) in Sioux Falls, South Dakota. Qualified in 2024, 2 years ago. Practices with Sioux Falls Specialty Hospital, LLP, a 54-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
2
Licensed in
SD
In the registry since
2024
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Practice location Address checks out

910 E 20th St
Sioux Falls, SD 57105-1012
Phone: (605) 334-6730
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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 CR001191 (SD)

Record details

NPI number1881430163
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNAP
Sole proprietorNo
NPI enumeratedJuly 5, 2024
Last updated in NPPESJuly 5, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sioux Falls Specialty Hospital, Llp — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sioux Falls