Individual provider Active NPI

Rachel A Patenode, FNP, PMHNP-BC

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1164734646
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000594 Issued in 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
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R033758 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP000594 SD
Family Nurse Practitioner 363LF0000X CP000594 SD Primary

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 1

  • Rachel A Waddell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R033758SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid City Mental Health Prof. LLC PastSince Aug 25, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1164734646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SAINT JOSEPH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012828",
            "telephone_number": "605-431-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SAINT JOSEPH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012828",
            "telephone_number": "605-399-4300",
            "fax_number": "605-399-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Canyon Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577020827",
            "country_code": "US",
            "telephone_number": "605-716-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATENODE",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "FNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "R033758",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP000594",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WADDELL",
            "middle_name": "A",
            "credential": "FNP, PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.