Active NPI
Mary Jo Nemec, NP-C
- Family Nurse Practitioner
- Milbank, SD
National Provider Identifier
1316285299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP000772
- Practice address
- 603 S Dakota St
Milbank, SD 57252-2812 - Phone
- (605) 554-0858
- NPI assigned
- Jan 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Yankton, SD
- NPI 1013445907
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, SD
- NPI 1104248475
-
- Federally Qualified Health Center (FQHC)
- Plankinton, SD
- NPI 1356459382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000772 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Care Inc | Current | Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients |
Locations
602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000772 | SD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
603 S Dakota St
Milbank, SD 57252-2812
Mailing address
19757 327TH Ave
Holabird, SD 57540-5412
Phone (605) 852-2385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2013.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1316285299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19757 327TH AVE",
"city": "HOLABIRD",
"state": "SD",
"postal_code": "575405412",
"telephone_number": "605-852-2385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S DAKOTA ST",
"city": "MILBANK",
"state": "SD",
"postal_code": "572522812",
"telephone_number": "605-554-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMEC",
"first_name": "MARY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milbank, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.