Individual provider Active NPI

Maria E Jungemann, CNP

  • Family Nurse Practitioner
  • Aberdeen, SD
National Provider Identifier
1184069460
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000781 Issued in SD
Practice address
615 6TH Ave SE
Aberdeen, SD 57401-4538
Phone
(605) 622-4000
NPI assigned
May 1, 2013
Last updated
Jan 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP000781 SD Primary

Addresses

Primary practice location

615 6TH Ave SE
Aberdeen, SD 57401-4538

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131113002230 SD Practitioner - Nurse Practitioner 0143456509 Reassigns benefits to 1 organization
I20180914002079 ND Practitioner - Certified Clinical Nurse Specialist (CNS) 0143456509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, shared by 12 NPIs, 164 clinicians

Practice addresses (Care Compare)

105 S State St
Aberdeen, SD 57401-4502

240 Main St
Ellendale, ND 58436-7410
Phone (701) 349-3666

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000781SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke's CurrentSince Aug 1, 2018 Accepting new patients
Avera St. Luke's Current Accepting new patients
Avera St Lukes Current Accepting new patients

Locations

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

615 6th Ave SE
Aberdeen, SD 57401
Phone (605) 622-4000

Interoperability endpoints

  • Direct secure messaging: maria.jungemann@avera.sdhealthlink.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1184069460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 6TH AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014538",
            "telephone_number": "605-622-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGEMANN",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.