Kelsey Jo Cunningham, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP001998 Issued in SD

Practice address

2120 8TH Ave NE
Aberdeen, SD 57401-3242

Phone

(605) 725-4772

Fax

(605) 799-8173

NPI assigned

Mar 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, SD2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conklin Clinics Prof LLCGroup PAC ID 8325391345, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera St Lukes Hospital, Aberdeen, SD, CCN 430014

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelsey.cunningham@avera.sdhealthlink.net

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.

• Conklin Clinics, Prof LLC

  • Multi-Specialty Clinic/Center
  • Aberdeen, SD
  • NPI 1457831497

  Family

  Medicare reassignment Care Compare group NPD
• Avera St. Luke'S

  • Internal Medicine Physician
  • Aberdeen, SD
  • NPI 1215100813
  Medicare reassignment NPD
• Avera St Lukes

  • Rural Health Clinic/Center
  • Ellendale, ND
  • NPI 1760423057
  Medicare reassignment NPD
• Avera St. Luke'S

  • Orthopaedic Surgery Physician
  • Aberdeen, SD
  • NPI 1124459391
  NPD
• Avera St. Luke'S

  • Plastic and Reconstructive Surgery Physician
  • Aberdeen, SD
  • NPI 1851547798
  NPD
• Avera St. Lukes

  • Nephrology Physician
  • Aberdeen, SD
  • NPI 1477594430
  NPD

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

• Avera St Lukes

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1457309270
  Care Compare affiliation

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1184218208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 8TH AVE NE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013242",
            "telephone_number": "605-725-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 8TH AVE NE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013242",
            "telephone_number": "605-725-4772",
            "fax_number": "605-799-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KELSEY",
        "middle_name": "JO",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R49717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Joseph Coughlin
• Patrick Coughlin, AUD
• Covenant Medical Specialty LLC
• Douglas Delon Cox, PT
• Keri Lynn Crewson, M.D.
• Shannon Curtin
• Mary E Curtis, RPH
• Donn Patrick Cutler, DDS
• Susan Cybulski, PT
• D N D Inc

• Family Nurse Practitioner in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.