Monument Health Network, Inc.
Organization Active NPI Family Medicine Physician · Buffalo, SD
NPI 1073992004 · NPPES record last updated Dec 16, 2025
Key facts
- NPI
- 1073992004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MONUMENT HEALTH NETWORK, INC.
- Practice address
- 209 Ramsland St
Buffalo, SD 57720-0045 - Phone
- (605) 375-3744
- Fax
- (605) 375-3745
- NPI assigned
- May 22, 2015
- Organization subpart
- No
Authorized official
- Name
- Thomas Worsley
- Title
- President Spearfish Hospital
- Phone
- (605) 644-4091
Other NPIs on the same Medicare enrollment 16
Corporate family (same tax ID) 43
Practitioners 31
-
Anurag Bajaj, M.D.
-
Wesley W Broeder, PA-C
-
Kirsten Busse, MD
-
Tracy Davies, MD
-
Desirae Lynn Dinius, PAC
-
Terry M Graber, MD
-
Jami Kortan, PA-C
-
Deborah K Kuehn, NNP
-
Jesse Kurtenbach, CRNA
-
Abigail Lambert, MS, RD, LN
-
William John Miner, M.D.
-
Crystal Page, PA-C
-
David A Steele, MD
-
Abbie Ann Styes, DNP, CNP
-
Danielle Trapp, MD
-
Tara Marie Ulmer, MD
-
Matthew Christian Werpy, D.O.
-
Mason Beel, PA
-
Jay Jahanmir, M.D.
-
Eric Francis Krohn, D.O.
-
Courtney A Lockhart, MD, PHD
-
Anna Marie Lukens-Black, CRNA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D1076117 | Monument Health Buffalo Clinic | Certificate of waiver | Nov 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000854 | SD | Part B Supplier - Clinic/Group Practice | 5991616427 |
Receives reassigned benefits from 370 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sturgis, SD; Spearfish, SD; Custer, SD; Hot Springs, SD; Hill City, SD; Deadwood, SD; Buffalo, SD; Belle Fourche, SD |
National Provider Directory
- Tax ID family
- Family Medical Center M
Locations
1100 Highway 71 S
Ste 101
Hot Springs, SD 57747
Phone (605) 745-5188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
209 Ramsland St
Buffalo, SD 57720-0045
Mailing address
PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 375-3744
Other names
- Buffalo Regional Medical Clinic Part B
- Monument Health Buffalo Clinic
Other providers in Buffalo, SD
- Jesika Garrett
- Patricia Gilbert
- Harding County Healthcare LLC
- Harding County South Dakota
- High Prairie Home Health LLC
- Crystal Page
- Prairie Performance Physical Therapy & Fitness, LLC
- Preferred Home Health Agency
- Regional Health Network Inc
- Regional Health Physicians Inc
All providers in Buffalo, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.