Active NPI
Jessica Lea Preheim, NP-C
- Family Nurse Practitioner
- Mitchell, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP000851
- Practice address
- 204 W Havens Ave
Mitchell, SD 57301-3906 - Phone
- (605) 990-4357
- NPI assigned
- Oct 20, 2014
- Last updated
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000851 | SD | Primary |
Addresses
Primary practice location
204 W Havens Ave
Mitchell, SD 57301-3906
Mailing address
204 W Havens Ave
Mitchell, SD 57301-3906
Phone (605) 990-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000851 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients | |
| Freeman Regional Health Services | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients | |
| Rural Medical Clinics | Current | Accepting new patients | |
| Freeman Regional Health Services | Past | Accepting new patients | |
| Avera Queen of Peace | Past | Accepting new patients |
Locations
804 S Walnut St
Freeman, SD 57029
Phone (605) 925-4000
1900 Grassland Dr
Mitchell, SD 57301
Phone (605) 995-6350
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
Interoperability endpoints
- jessica.preheim@avera.sdhealthlink.net
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.
-
dba AMG Hospitalists Mitchell
- Hospitalist Physician
- Mitchell, SD
- NPI 1205359031
-
- Rural Health Clinic/Center
- Marion, SD
- NPI 1740570076
-
dba Avera Weskota Memorial Medical Center
- Critical Access Hospital
- Wessington Springs, SD
- NPI 1316942204
-
dba Avera De Smet Memorial Hospital
- Critical Access Hospital
- De Smet, SD
- NPI 1710155460
-
- Clinic/Center
- Freeman, SD
- NPI 1508156290
-
- Clinic/Center
- Freeman, SD
- NPI 1851362354
-
dba Avera Medical Group Howard
- Rural Health Clinic/Center
- Howard, SD
- NPI 1326043092
-
- Critical Access Hospital
- Freeman, SD
- NPI 1003818006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1285038265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W HAVENS AVE",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573013906",
"telephone_number": "605-990-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W HAVENS AVE",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573013906",
"telephone_number": "605-990-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREHEIM",
"first_name": "JESSICA",
"middle_name": "LEA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.