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Angela Mae Broughton

Individual provider Active NPI Family Nurse Practitioner · Mitchell, SD

NPI 1154896801 · NPPES record last updated Oct 9, 2018

Key facts

NPI
1154896801
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
CP001468 (SD)
Practice address
1900 Grassland Dr
Mitchell, SD 57301-6205
Phone
(605) 995-7000
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Queen of Peace (122 clinicians)
Rural Health Care Inc (156 clinicians)

Practice addresses (Care Compare)

1900 Grassland Dr
Mitchell, SD 57301-6335
Phone (605) 995-7000

1900 Grassland Dr
Suite 103
Mitchell, SD 57301-6386
Phone (605) 995-7000

Hospital & facility affiliations

  • Avera @ Home Home health agency · Mitchell, SD · CCN 437041
  • Avera Queen of Peace Hospital · Mitchell, SD · CCN 431340
  • Avera McKennan Hospital & University Health Center Hospital · Sioux Falls, SD · CCN 430016

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 IDStateProvider typePAC IDDetails
I20190111002189 SD Practitioner - Nurse Practitioner 3274879267 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care, Inc Current
since Nov 1, 2019		 Accepting new patients
Avera Queen of Peace Current
since Nov 19, 2018		 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Rural Health Care, Inc. Current
since Nov 1, 2019		 Accepting new patients
Avera Queen of Peace Current
since Nov 19, 2018		 Accepting new patients

Locations

1900 Grassland Dr
Mitchell, SD 57301
Phone (605) 655-1220

1900 Grassland Dr
Ste 103
Mitchell, SD 57301
Phone (605) 995-4900

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

Interoperability endpoints

  • Direct secure messaging: angela.broughton@avera.sdhealthlink.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001468 SD Yes

Addresses

Primary practice location

1900 Grassland Dr
Mitchell, SD 57301-6205

Mailing address

1900 Grassland Dr
Mitchell, SD 57301-6205
Phone (605) 995-7000

Other providers in Mitchell, SD

All providers in Mitchell, SD · Family Nurse Practitioner in South Dakota

Sources for this page

Verify at the official NPI Registry.