Jennifer Anne Sobolik, CNP, FNP-C

Key facts

NPI

1265809651

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

CP000983 (SD)

Practice address

350 Pine St
Rapid City, SD 57701-1669

Phone

(605) 721-8939

Fax

(605) 721-8998

NPI assigned

Sep 1, 2015

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Community Health Center of the Black Hills Inc Federally Qualified Health Center (FQHC) · Rapid City, SD · NPI 1669508677
  Medicare reassignment Care Compare group NPD SD
• Monument Health Network, Inc. Multi-Specialty Clinic/Center · Hot Springs, SD · NPI 1588185268
  Medicare reassignment NPD SD
• Monument Health Network, Inc. Family Medicine Physician · Custer, SD · NPI 1427243963
  NPD
• Community Health Center of the Black Hills, Inc General Practice Physician · Rapid City, SD · NPI 1518219633
  NPD (past)

Medicare Care Compare profile

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 Inc (12 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2026.

{
    "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": []
}

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