NPIMap

Individual provider Active NPI

Rebecca M Leonard, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1073586632
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000301 Issued in SD
Practice address
6110 S. Minnesota Av.
Sioux Falls, SD 57108
Phone
(605) 328-5800
Fax
(605) 328-5814
NPI assigned
Feb 13, 2006
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0301 SD
Family Nurse Practitioner 363LF0000X CP000301 SD Primary

Addresses

Primary practice location

6110 S. Minnesota Av.
Sioux Falls, SD 57108

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other identifiers 1

IdentifierTypeStateIssuer
6821732MedicaidSD

Other names 1

  • Rebecca Moen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmoen932@direct.sanfordhealth.org

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
I20050818000448 SD Practitioner - Nurse Practitioner 8527098649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

400 N Hiawatha Dr
Canton, SD 57013-5800
Phone (605) 987-4378

440 N Hiawatha Dr
Canton, SD 57013-5800
Phone (605) 987-2621

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 328-9000

701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0301SDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Nurse Practitioner Current Accepting new patients
Sanford Medical Center Nurse Practitioner CurrentSince Sep 1, 2005 Accepting new patients
Sanford Clinic CurrentSince Sep 1, 2005 Accepting new patients
Sanford Clinic Nurse Practitioner Current Accepting new patients
Sanford Health Network CurrentSince Jul 9, 2024 Accepting new patients
Sanford Health Network CurrentSince Jul 9, 2024 Accepting new patients
Sanford Clinic CurrentSince Sep 1, 2005 Accepting new patients
Sanford Clinic Nurse Practitioner Past Accepting new patients
Sanford Health Network Nurse Practitioner Past Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

600 W Cedar St
Beresford, SD 57004
Phone (605) 763-3700

1105 E Holly Blvd
Brandon, SD 57005
Phone (605) 582-5820

400 N Hiawatha Dr
Canton, SD 57013
Phone (605) 764-1500

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

2001 S Summit Ave
Sioux Falls, SD 57197
Phone (605) 274-0770

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

6101 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 312-8000

6110 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 328-5800

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Interoperability endpoints

  • Direct secure messaging: rmoen932@direct.sanfordhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1073586632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 S. MINNESOTA AV.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-328-5800",
            "fax_number": "605-328-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "0301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6821732",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoen932@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "6110 S. Minnesota Av.",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "57108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MOEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.