Individual provider Active NPI

Meggan Leigh Reisch, CNP

  • Nurse Practitioner
  • Madison, SD
National Provider Identifier
1114336153
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000920 Issued in SD
Practice address
411 SE 10TH St Ste 102
Madison, SD 57042-3570
Phone
(605) 556-1004
Fax
(217) 771-1606
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000920 SD Primary
Registered Nurse 163W00000X R037821 SD

Addresses

Primary practice location

411 SE 10TH St Ste 102
Madison, SD 57042-3570

Mailing address

411 SE 10TH St Ste 102
Madison, SD 57042-3570
Phone (605) 556-1004

Other identifiers 1

IdentifierTypeStateIssuer
111436153MedicaidSD

Other names 1

  • Ms. Meggan Leigh Johnson Former name

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
I20150409001770 SD Practitioner - Nurse Practitioner 6608194352 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Nov 1, 2024 Accepting new patients
Sanford Health Network Current Accepting new patients
Madison Community Hospital CurrentSince Jan 17, 2015 Accepting new patients
Madison Community Hospital CurrentSince Jan 17, 2015 Accepting new patients
Sanford Health Network Registered Nurse Current Accepting new patients
City of Brookings Current Accepting new patients
Sanford Health Network CurrentSince Nov 1, 2024 Accepting new patients
City of Brookings CurrentSince Aug 10, 2024 Accepting new patients
City of Brookings Current Accepting new patients
City of Brookings CurrentSince Aug 10, 2024 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

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

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

728 S Washington Ave
Madison, SD 57042
Phone (605) 556-1004

323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551

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

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1114336153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SE 10TH ST STE 102",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423570",
            "telephone_number": "605-556-1004",
            "fax_number": "217-771-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SE 10TH ST STE 102",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423570",
            "telephone_number": "605-556-1004",
            "fax_number": "217-771-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISCH",
        "first_name": "MEGGAN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000920",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R037821",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111436153",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGGAN",
            "last_name": "JOHNSON",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, SD

Sources for this page

Verify at the official NPI Registry.