Individual provider Active NPI

Jennifer Anne Sobolik, CNP, FNP-C

  • Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1265809651
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000983 Issued in SD
Practice address
350 Pine St
Rapid City, SD 57701-1669
Phone
(605) 721-8939
Fax
(605) 721-8998
NPI assigned
Sep 1, 2015
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000983 SD Primary
Family Nurse Practitioner 363LF0000X CP000983 SD

Addresses

Primary practice location

350 Pine St
Rapid City, SD 57701-1669

Mailing address

350 Pine St
Rapid City, SD 57701-1669
Phone (605) 721-8939

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
I20151021001804 SD Practitioner - Nurse Practitioner 5193034759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of the Black Hills IncGroup PAC ID 7618886334, 12 clinicians

Practice addresses (Care Compare)

350 Pine St
Rapid City, SD 57701-1669
Phone (605) 721-8939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000983SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Sep 17, 2015 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Community Health Center of the Black Hills Inc CurrentSince Aug 27, 2019 Accepting new patients
Community Health Center of the Black Hills, Inc Past Accepting new patients

Locations

10 Van Buren St
Rapid City, SD 57701
Phone (605) 721-8939

217 Kansas City St
Ste 200
Rapid City, SD 57701
Phone (605) 721-8939

350 Pine St
Rapid City, SD 57701
Phone (605) 721-8939

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • Direct secure messaging: jennifer.sobolik.1@32387.direct.athenahealth.com

Organizations & group practices 4

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1265809651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011669",
            "telephone_number": "605-721-8939",
            "fax_number": "605-721-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011669",
            "telephone_number": "605-721-8939",
            "fax_number": "605-721-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOLIK",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000983",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.