Rachel A Patenode, FNP, PMHNP-BC
Individual provider Active NPI Family Nurse Practitioner · Rapid City, SD
NPI 1164734646 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1164734646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CP000594 (SD)
- Practice address
- 307 Saint Joseph St
Rapid City, SD 57701-2828 - Phone
- (605) 399-4300
- Fax
- (605) 399-4352
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R033758 | SD | MD | Nurse Practitioner |
| CP000594 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid City Mental Health Prof. LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R033758 | SD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP000594 | SD | |
| Family Nurse Practitioner | 363LF0000X | CP000594 | SD | Yes |
Addresses
Primary practice location
307 Saint Joseph St
Rapid City, SD 57701-2828
Mailing address
307 Saint Joseph St
Rapid City, SD 57701-2828
Phone (605) 431-8537
Other practice location 1
3939 Canyon Lake Dr
Rapid City, SD 57702-0827
Phone (605) 716-3555
Other names
- Rachel A Waddell
Other providers in Rapid City, SD
- Laura Ann Parsons
- Partner Medical HC RC LLC
- Darcy Paschke
- Gelynn Passmore
- Lance Patenode
- Sujan Pathak
- Alan Ross Patterson
- Kendra Nicole Patton
- Marie S Patton
- Paul a Bormes MD PC
All providers in Rapid City, 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 Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.