NPIMap

Individual provider Active NPI

Melissa Kludt, CNP

  • Family Nurse Practitioner
  • Scotland, SD
National Provider Identifier
1053667808
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000727 Issued in SD
Practice address
600 Billars St
Scotland, SD 57059-2026
Phone
(605) 583-2226
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP000727 SD Primary

Addresses

Primary practice location

600 Billars St
Scotland, SD 57059-2026

Mailing address

600 Billars St
Scotland, SD 57059-2026
Phone (605) 583-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000179 SD Practitioner - Nurse Practitioner 6608025861 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of BrookingsGroup PAC ID 1052307105, 112 clinicians
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians

Practice addresses (Care Compare)

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351

501 Summit St
Yankton, SD 57078-3855
Phone (605) 655-1201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000727SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Dec 4, 2014 Accepting new patients
City of Brookings Current Accepting new patients
Sacred Heart Health Services CurrentSince Mar 7, 2017 Accepting new patients
Avera McKennan CurrentSince Oct 1, 2025 Accepting new patients
Landmann Jungman Memorial Hospital Corporation CurrentSince Jul 30, 2012 Accepting new patients
Avera McKennan Current Accepting new patients
Avera Queen of Peace Current Accepting new patients
Landmann Jungman Memorial Hospital Corporation CurrentSince Jul 30, 2012 Accepting new patients
Avera McKennan CurrentSince Dec 4, 2014 Accepting new patients
City of Brookings CurrentSince Oct 20, 2021 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Avera Queen of Peace Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

600 Billars St
Scotland, SD 57059
Phone (605) 583-2226

610 Billars St
Scotland, SD 57059
Phone (605) 583-2226

3901 S Marion Rd
Sioux Falls, SD 57106
Phone (605) 323-0879

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Interoperability endpoints

  • Direct secure messaging: melissa.kludt1@avera.sdhealthlink.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 11

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1053667808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BILLARS ST",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "570592026",
            "telephone_number": "605-583-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BILLARS ST",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "570592026",
            "telephone_number": "605-583-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUDT",
        "first_name": "MELISSA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotland, SD

Sources for this page

Verify at the official NPI Registry.