Individual provider Active NPI

Jime Lynne Rivera, CNP

  • Psychiatry Physician
  • Yankton, SD
National Provider Identifier
1033719661
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
CP002697 Issued in SD
Practice address
708 E 21St Street
Yankton, SD 57078
Phone
(580) 583-3922
NPI assigned
Nov 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X CP002697 SD Primary

Addresses

Primary practice location

708 E 21St Street
Yankton, SD 57078

Mailing address

708 E 21St Street
Yankton, SD 57078
Phone (580) 583-3922

Other names 1

  • Jime Lynne Schultz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315000450 SD Practitioner - Nurse Practitioner 8325412364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lewis and Clark Behavioral Health Services IncGroup PAC ID 9436145273, 11 clinicians

Practice addresses (Care Compare)

3111 Shirley Bridge Ave
Yankton, SD 57078-5949
Phone (605) 665-4606

Hospital & facility affiliations

  • Sanford Vermillion Medical Center Hospital, Vermillion, SD, CCN 431336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis & Clark Behavioral Health Services, Inc. CurrentSince Feb 17, 2023 Accepting new patients
Lewis & Clark Mental Health Center Past Accepting new patients

Locations

1028 Walnut St
Yankton, SD 57078
Phone (605) 665-4606

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1033719661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E 21ST STREET",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "57078",
            "telephone_number": "580-583-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E 21ST STREET",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "57078",
            "telephone_number": "580-583-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JIME",
        "middle_name": "LYNNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "CP002697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIME",
            "last_name": "SCHULTZ",
            "middle_name": "LYNNE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.