Brittney Michele Korthals, CNP
Individual provider Active NPI Family Nurse Practitioner · Burke, SD
NPI 1003581141 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1003581141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CP002102 (SD)
- Practice address
- 809 Jackson St
Burke, SD 57523-2065 - Phone
- (605) 775-2621
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Memorial Hospital Inc
Practice addresses (Care Compare)
809 Jackson St
Burke, SD 57523-2065
Phone (605) 775-2621
Hospital & facility affiliations
- Community Memorial Hospital
- Sanford Usd Medical Center
- Community Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210823002541 | SD | Practitioner - Nurse Practitioner | 4789089145 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Hospital Inc | Current |
Accepting new patients | |
| Community Memorial Hospital, Inc | Current | Accepting new patients | |
| Community Memorial Hospital Inc | Current |
Accepting new patients | |
| Community Memorial Hospital, Inc | Current | Accepting new patients |
Locations
314 Mellette St
Bonesteel, SD 57317
Phone (605) 654-9021
Interoperability endpoints
- brittney.korthals@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP002102 | SD | Yes |
Addresses
Primary practice location
809 Jackson St
Burke, SD 57523-2065
Mailing address
809 Jackson St
Burke, SD 57523-2065
Phone (605) 775-2621
Other providers in Burke, SD
- Community Memorial Hospital, Inc
- Community Memorial Hospital, Inc
- Dulce Lorraine Frank
- Vladik Johnson
- Amy S Juracek
- Debra K Leibel
- Natasha Rae Martin
- Sanford Healthcare Accessories, LLC
- Megan M Smith
- Kelsey Shannon Soles
All providers in Burke, SD · Family Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.