Carrie Jo Farnsworth, FNP, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Black Hawk, SD
NPI 1114636693 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1114636693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CP002583 (SD)
- Practice address
- 8000 Black Hawk Rd Ste 4
Black Hawk, SD 57718-3315 - Phone
- (605) 431-3388
- Fax
- (605) 403-5356
- NPI assigned
- Nov 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mind Body Connections LLC
Monument Health Rapid City Hospital Inc
Practice addresses (Care Compare)
8000 Black Hawk Rd
Suite 4
Black Hawk, SD 57718-3315
Phone (605) 431-3388
915 Mountain View Rd
Rapid City, SD 57702-3414
Phone (605) 755-7200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230315003099 | SD | Practitioner - Nurse Practitioner | 2062886963 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP002583 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Body Connections LLC | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current |
Accepting new patients |
Locations
8000 Black Hawk Rd
Ste 4
Black Hawk, SD 57718
Phone (605) 431-3388
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
915 Mountain View Rd
Rapid City, SD 57702
Phone (605) 719-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP002583 | SD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP002583 | SD | Yes |
Addresses
Primary practice location
8000 Black Hawk Rd Ste 4
Black Hawk, SD 57718-3315
Mailing address
8000 Black Hawk Rd Ste 4
Black Hawk, SD 57718-3315
Phone (605) 431-3388
Other providers in Black Hawk, SD
- Danielle Rae Akason
- Jason A Beilstein
- BHP Inc
- Foothills Family Clinic
- Helping Hands Laundry Services, LLC
- High Plains Physical Therapy II LLC
- Hill-Rom Company, Inc.
- Home Sweet Home
All providers in Black Hawk, SD · Psychiatric/Mental Health Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.