Matthew Davalos

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP003907 Issued in SD

Practice address

216 Anamaria Dr
Rapid City, SD 57701-7366

Phone

(605) 721-4700

NPI assigned

Nov 4, 2025

Last updated

Nov 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Black Hills Surgical Hospital LLC Hospital, Rapid City, SD, CCN 430091

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Black Hills Surgical Hospital, LLC

  • Special Hospital
  • Rapid City, SD
  • NPI 1376896621
  Medicare reassignment Care Compare group NPD
• Black Hills Surgical Hospital, LLC

  dba Black Hills Surgical Hospital

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1336009646
  Medicare reassignment
• Black Hills Surgical Hospital, LLC

  • Anesthesiology Physician
  • Rapid City, SD
  • NPI 1972630275
  NPD

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

• Black Hills Surgical Hospital, LLC

  • Special Hospital
  • Rapid City, SD
  • NPI 1679535132
  Care Compare affiliation

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1043189277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ANAMARIA DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ANAMARIA DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017366",
            "telephone_number": "605-721-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALOS",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Danielson
• Stacy Danielson, PA
• Steven L Dary, CNP-BC
• Ulyana Dashkevych, DO
• Kassie Marie Davalos, MSE, MA, CCC--SLP
• David a Rempel, DDS P.C.
• Laura E Davies, DDS
• Sean Davies, APRN
• Susan Davies
• Tracy Davies, MD

• Family Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.