Individual provider Active NPI

Stefanie Robinson

  • Acute Care Nurse Practitioner
  • Watertown, SD
National Provider Identifier
1093442808
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CP002474 Issued in SD
Practice address
1056 29TH St SE
Watertown, SD 57201-9120
Phone
(605) 753-0960
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X CP002474 SD Primary

Addresses

Primary practice location

1056 29TH St SE
Watertown, SD 57201-9120

Mailing address

44719 Kampeska Cir
Watertown, SD 57201-7698
Phone (605) 868-0802

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108000650 SD Practitioner - Nurse Practitioner 9335515345 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T and L Quick Care PCGroup PAC ID 1153670120, 7 clinicians
City of BrookingsGroup PAC ID 1052307105, 112 clinicians

Practice addresses (Care Compare)

1056 29TH St SE
Watertown, SD 57201-9120
Phone (605) 881-0432

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

401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.59 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
85.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP002474SDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Gettysburg Current Accepting new patients
Sanford Health Network CurrentSince Jul 21, 2025 Accepting new patients
Avera St Marys CurrentSince Jun 1, 2025 Accepting new patients
City of Brookings Current Accepting new patients
Avera Gettysburg CurrentSince May 1, 2025 Accepting new patients
T & L Quick Care PC Acute Care CurrentSince Feb 8, 2023 Accepting new patients
Sanford Health Network CurrentSince Jul 21, 2025 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Oct 10, 2022 Accepting new patients
Avera St Marys Current Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Oct 10, 2022 Accepting new patients
American Advanced Practice Network, P.C. CurrentSince Aug 30, 2022 Accepting new patients
Sanford Health Network Current Accepting new patients
City of Brookings CurrentSince Sep 1, 2025 Accepting new patients
City of Brookings Current Accepting new patients
Avera St. Mary's CurrentSince Jun 1, 2025 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

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

606 E Garfield Ave
Ste C
Gettysburg, SD 57442
Phone (605) 765-2273

2355 Dakota Ave S
Huron, SD 57350
Phone (605) 554-2273

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

1056 29th St SE
Watertown, SD 57201
Phone (605) 214-5762

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 9

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1093442808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44719 KAMPESKA CIR",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017698",
            "telephone_number": "605-868-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 29TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019120",
            "telephone_number": "605-753-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "STEFANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SD",
            "license": "CP002474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.