Individual provider Active NPI

Cris Ann Mathews, PA-C

  • Physician Assistant
  • Rapid City, SD
National Provider Identifier
1164469185
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0278 Issued in SD
Practice address
240 Minnesota St
Rapid City, SD 57701-6200
Phone
(605) 718-5123
Fax
(605) 719-9509
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0278 SD Primary

Addresses

Primary practice location

240 Minnesota St
Rapid City, SD 57701-6200

Mailing address

240 Minnesota St
Rapid City, SD 57701-6200
Phone (605) 718-5123

Other identifiers 1

IdentifierTypeStateIssuer
6822032MedicaidSD

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
I20061121000442 SD Practitioner - Physician Assistant 8628076932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

240 Minnesota St
Rapid City, SD 57701-6200
Phone (605) 719-9499

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
91.01
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0278SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Slingsby & Huot Eye Associates Prof CurrentSince May 1, 2025 Accepting new patients

Locations

240 Minnesota St
Rapid City, SD 57701
Phone (605) 718-5123

1230 North Ave
Ste 3
Spearfish, SD 57783
Phone (605) 642-4656

Organizations & group practices 1

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1164469185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016200",
            "telephone_number": "605-718-5123",
            "fax_number": "605-719-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016200",
            "telephone_number": "605-718-5123",
            "fax_number": "605-719-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "CRIS",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6822032",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.