Muriel Annette Engbrecht, CNP
Individual provider Active NPI Family Nurse Practitioner · Harrisburg, SD
NPI 1124292180 · NPPES record last updated Jan 13, 2012
Key facts
- NPI
- 1124292180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CP000536 (SD)
- Practice address
- 220 S Cliff Ave # 120
Harrisburg, SD 57032-2117 - Phone
- (605) 322-4900
- NPI assigned
- Apr 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20090113000854 | SD | Practitioner - Nurse Practitioner | 5991868226 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R023079 | SD | MD | Registered Nurse |
| CP000536 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
220 S Cliff Ave
Ste 120
Harrisburg, SD 57032
Phone (605) 213-8000
3000 S Minnesota Ave
Sioux Falls, SD 57105
Phone (605) 332-1502
1301 S Cliff Ave
Ste 400
Sioux Falls, SD 57105
Phone (605) 322-5750
1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140
Interoperability endpoints
- muriel.engbrecht@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R023079 | SD | |
| Family Nurse Practitioner | 363LF0000X | CP000536 | SD | Yes |
Addresses
Primary practice location
220 S Cliff Ave # 120
Harrisburg, SD 57032-2117
Mailing address
PO Box 86430
Sioux Falls, SD 57118-6430
Phone (605) 336-3503
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP000536 | Other | SD | CNP LICENSE NUMBER |
Other providers in Harrisburg, SD
- Michelle Cotter
- Courtney Decker
- Amanda Rae Edlund
- Rita Eggert
- Laura Elgersma
- Donna Marie Epp
- Evolve Chiropractic and Rehab LLC
- Sonya Francis
- Fricke Counseling LLC
- Amy Gage
All providers in Harrisburg, SD · Family 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 Jan 13, 2012. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.