Active NPI
Rebecca Jo Moke, NP
- Family Nurse Practitioner
- Lake Andes, SD
National Provider Identifier
1083809206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP000512
- Practice address
- 756 E Lake STR
Lake Andes, SD 57356-0279 - Phone
- (605) 487-7878
- Fax
- (605) 487-9566
- NPI assigned
- Sep 11, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000512 | SD | Primary |
Addresses
Primary practice location
756 E Lake STR
Lake Andes, SD 57356-0279
Mailing address
PO Box 279
Lake Andes, SD 57356-0279
Phone (605) 487-7878
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9251967 | Other | SD | DAKOTACARE |
| 4992778 | Other | SD | WELLMARK LAKE ANDES |
| 6829712 | Medicaid | SD | |
| 4992777 | Other | SD | WELLMARK PARKSTON |
| CP000512 | Other | SD | NURSE PRACTITIONER |
| 6829710 | Medicaid | SD |
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 |
|---|---|---|---|---|
| I20071030000322 | SD | Practitioner - Nurse Practitioner | 0941397582 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Benedict Health Center
Practice addresses (Care Compare)
401 W Glynn Dr
Parkston, SD 57366-9605
Phone (605) 928-7961
Hospital & facility affiliations
- Avera St Benedict Health Center - Cah
- Avera Queen of Peace
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.27 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.13 of 100
- Quality
- 67.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 62.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Benedict Health Center | Current | Accepting new patients | |
| St Benedict Health Center | Current | Accepting new patients | |
| St Benedict Health Center | Current | Accepting new patients |
Locations
756 E Lake St
Lake Andes, SD 57356
Phone (605) 487-7878
401 W Glynn Dr
Parkston, SD 57366
Phone (605) 928-3311
Interoperability endpoints
- becky.moke@avera.sdhealthlink.net
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Lake Andes, SD
- NPI 1114931797
-
- Medicare Defined Swing Bed Hospital Unit
- Parkston, SD
- NPI 1265534630
-
- Rural Health Clinic/Center
- Tripp, SD
- NPI 1740355635
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": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1083809206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 279",
"city": "LAKE ANDES",
"state": "SD",
"postal_code": "573560279",
"telephone_number": "605-487-7878",
"fax_number": "605-487-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "756 E LAKE STR",
"city": "LAKE ANDES",
"state": "SD",
"postal_code": "573560279",
"telephone_number": "605-487-7878",
"fax_number": "605-487-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKE",
"first_name": "REBECCA",
"middle_name": "JO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "9251967",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK LAKE ANDES",
"identifier": "4992778",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6829712",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK PARKSTON",
"identifier": "4992777",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "CP000512",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6829710",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Andes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.