Active NPI
Jacqueline Ranae Garner, CNP
- Nurse Practitioner
- Rapid City, SD
National Provider Identifier
1073667556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CP000393
- Practice address
- 640 Flormann St
Rapid City, SD 57701 - Phone
- (605) 718-3300
- Fax
- (605) 718-3426
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CP000393 | SD | Primary |
Addresses
Primary practice location
640 Flormann St
Rapid City, SD 57701
Mailing address
350 Pine St
Rapid City, SD 57701-1669
Phone (605) 721-8939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R020206 | Other | SD | LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040507000138 | SD | Practitioner - Nurse Practitioner | 2961491816 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Network Inc
Practice addresses (Care Compare)
2140 Junction Ave
Sturgis, SD 57785-2358
Phone (605) 720-2400
Hospital & facility affiliations
- Monument Health Sturgis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Queen City Regional Medical Clinic | Past | Accepting new patients |
Locations
2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400
Interoperability endpoints
- jgarner.8156@regionalhealth.sdhealthlink.net
Organizations & group practices 16
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.
-
- Critical Access Hospital
- Custer, SD
- NPI 1871560516
-
- General Acute Care Hospital
- Spearfish, SD
- NPI 1033183942
-
- Critical Access Hospital
- Deadwood, SD
- NPI 1174590806
-
- Medicare Defined Swing Bed Hospital Unit
- Custer, SD
- NPI 1205803160
-
- Rural Health Clinic/Center
- Hot Springs, SD
- NPI 1215458211
-
- Rural Health Clinic/Center
- Hill City, SD
- NPI 1265637003
-
- Skilled Nursing Facility
- Sturgis, SD
- NPI 1417910274
-
- Medicare Defined Swing Bed Hospital Unit
- Sturgis, SD
- NPI 1497722136
-
- Multi-Specialty Clinic/Center
- Spearfish, SD
- NPI 1578942496
-
- Rural Health Clinic/Center
- Belle Fourche, SD
- NPI 1598144719
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": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1073667556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PINE ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577011669",
"telephone_number": "605-721-8939",
"fax_number": "605-721-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 FLORMANN ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-718-3300",
"fax_number": "605-718-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "JACQUELINE",
"middle_name": "RANAE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "CP000393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "R020206",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.