Individual provider Active NPI

Anette Hollenbeck, CNP

  • Family Nurse Practitioner
  • Mobridge, SD
National Provider Identifier
1114586559
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06190247 Issued in SD
Practice address
1401 10TH Ave W
Mobridge, SD 57601-1106
Phone
(605) 848-0458
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06190247 SD Primary

Addresses

Primary practice location

1401 10TH Ave W
Mobridge, SD 57601-1106

Mailing address

109 13TH St E
Mobridge, SD 57601-1337
Phone (605) 848-0458

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
I20190823003360 SD Practitioner - Nurse Practitioner 3779811062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Mobridge Regional HospitalGroup PAC ID 6507776135, 20 clinicians

Practice addresses (Care Compare)

1309 10TH Ave W
Mobridge, SD 57601-1146
Phone (605) 845-3692

Hospital & facility affiliations

  • Mobridge Regional Hospital - Cah Hospital, Mobridge, SD, CCN 431325

Merit-based Incentive Payment System (MIPS)

Final score
60.65 of 100Reported as group
Quality
51.66
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06190247SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobridge Regional Hospital Current Accepting new patients
Mobridge Regional Hospital CurrentSince Jul 9, 2019 Accepting new patients
Mobridge Regional Hospital CurrentSince Dec 1, 2025 Accepting new patients
Mobridge Regional Hospital CurrentSince Jul 9, 2019 Accepting new patients

Locations

1309 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

1401 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/

Organizations & group practices 4

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.

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1114586559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 13TH ST E",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011337",
            "telephone_number": "605-848-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011106",
            "telephone_number": "605-848-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "ANETTE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "F06190247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobridge, SD

Sources for this page

Verify at the official NPI Registry.