Melissa J Magstadt, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP000236 Issued in SD

Practice address

1028 29TH St SE
Watertown, SD 57201-9120

Phone

(605) 878-2888

NPI assigned

Jan 12, 2006

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simply Gorgeous LLCGroup PAC ID 8022483254, 2 clinicians

T and L Quick Care PCGroup PAC ID 1153670120, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.magstadt@quickcare.directbygreenway.com

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.

• Simply Gorgeous, LLC

  dba SG Essentials

  • Family Medicine Physician
  • Watertown, SD
  • NPI 1750092151
  Medicare reassignment Care Compare group NPD Authorized official
• T & L Quick Care PC

  • Acute Care Nurse Practitioner
  • Watertown, SD
  • NPI 1437650751
  Medicare reassignment Care Compare group
• Simply Gorgeous Medical Spa Prof, LLC

  • Family Medicine Physician
  • Watertown, SD
  • NPI 1750221982
  NPD Authorized official
• Sanford Health Network

  dba Sanford Care Center Vermillion

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280
  Medicare reassignment
• American Advanced Practice Network, P.C.

  • Nurse Practitioner
  • Watertown, SD
  • NPI 1790244341
  NPD
• Sanford Health Network

  dba Sanford Clinic Vermillion

  • Family Medicine Physician
  • Vermillion, SD
  • NPI 1013921733

  Nurse Practitioner

  NPD
• Sanford Health Network

  dba Sanford Chamberlain Medical Center

  • Critical Access Hospital
  • Chamberlain, SD
  • NPI 1134140825
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1093794596",
    "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",
            "telephone_number": "605-328-7180",
            "fax_number": "605-328-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 29TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019120",
            "telephone_number": "605-878-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 4th St NW",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "SD",
            "postal_code": "572011565",
            "country_code": "US",
            "telephone_number": "605-886-8471",
            "fax_number": "605-886-9317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 3rd Ave SE",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "SD",
            "postal_code": "574015418",
            "country_code": "US",
            "telephone_number": "605-226-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGSTADT",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "R024532",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825932",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma R. Mack, D.C.
• Niccole J Mack, D.P.T.
• Todd D Mack, CSW-PIP
• Brittany Elaine Macks
• Teresa Ann Madsen, CCSC II BS ALLIED
• Gertrude Boitumelo Makgabenyana, MA CLINICAL MENTAL
• Jered Marc Mancell, D.O.
• Mark Bontreger Inc
• Dana Martens, LCSW
• Justin James Martinson, PA-C

• Family Nurse Practitioner in Watertown, SD
• Providers in Watertown, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.

Verify at the official NPI Registry.