Individual provider Active NPI

Angela Kay Gaikowski, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Aberdeen, SD
National Provider Identifier
1275788960
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP000886 Issued in SD
Practice address
1206 S Main St
Aberdeen, SD 57401-7071
Phone
(605) 250-1200
Fax
(605) 250-0999
NPI assigned
Nov 21, 2008
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP000886 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP000886 SD Primary
Family Nurse Practitioner 363LF0000X R222645-5 MN

Addresses

Primary practice location

1206 S Main St
Aberdeen, SD 57401-7071

Mailing address

205 Orchard Drive
Sisseton, SD 57262-2398
Phone (605) 698-7681

Other practice location 1

205 Orchard Drive
Sisseton, SD 57262-2398
Phone (605) 698-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 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
I20141006000093 SD Practitioner - Nurse Practitioner 9032339510 Reassigns benefits to 3 organizations
I20141126000055 MN Practitioner - Nurse Practitioner 9032339510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coteau Des Prairies HospitalGroup PAC ID 8022926468, 11 clinicians
Modern Day Health Care Prof LLCGroup PAC ID 8325473507, 12 clinicians

Practice addresses (Care Compare)

116 W Main St
Rosholt, SD 57260-2258
Phone (605) 537-4244

1409 6TH Ave SE
Suite 1
Aberdeen, SD 57401-4950
Phone (605) 250-1200

205 Orchard Dr
Sisseton, SD 57262-2398

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R222645-5MNMDFamily Nurse Practitioner
CP000886SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coteau Des Prairies Hospital CurrentSince Aug 22, 2014 Accepting new patients
Coteau Des Prairies Hospital Current Accepting new patients
Coteau Des Prairies Hospital CurrentSince Aug 22, 2014 Accepting new patients
Coteau Des Prairies Hospital CurrentSince Aug 22, 2014 Accepting new patients
Fit for Life Chiropractic, LLC CurrentSince Sep 21, 2022 Accepting new patients
Modern Day Health Care Prof LLC Family CurrentSince Sep 21, 2022 Accepting new patients
Coteau Des Prairies Hospital,Inc Past Accepting new patients
Dakota Vascular Prof LLC PastSince Sep 21, 2022 Accepting new patients

Locations

1206 S Main St
Aberdeen, SD 57401
Phone (605) 622-5800

1409 6th Ave SE
Ste 1
Aberdeen, SD 57401
Phone (605) 240-1200

312 E Holly Blvd
Brandon, SD 57005
Phone (605) 254-7735

145 Dakota Ave S
Huron, SD 57350

2501 S Louise Ave
Unit 90332
Sioux Falls, SD 57109

1056 29th St SE
Watertown, SD 57201
Phone (605) 214-5762

Organizations & group practices 8

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 8

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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1275788960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ORCHARD DRIVE",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622398",
            "telephone_number": "605-698-7681",
            "fax_number": "605-698-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 S MAIN ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017071",
            "telephone_number": "605-250-1200",
            "fax_number": "605-250-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Orchard Drive",
            "address_purpose": "LOCATION",
            "city": "Sisseton",
            "state": "SD",
            "postal_code": "572622398",
            "country_code": "US",
            "telephone_number": "605-698-7681",
            "fax_number": "605-698-3493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAIKOWSKI",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000886",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP000886",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R222645-5",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.