Individual provider Active NPI

Carleigh R Belush, PNP

  • Pediatric Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1336815034
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11014884 Issued in FL
Practice address
2601 S Ellis Rd
Sioux Falls, SD 57106-7067
Phone
(605) 312-3000
NPI assigned
Aug 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11014884 FL Primary

Addresses

Primary practice location

2601 S Ellis Rd
Sioux Falls, SD 57106-7067

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

6261 Camino Dr
Apollo Beach, FL 33572-3439
Phone (443) 850-3028

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
I20240229000742 SD Practitioner - Nurse Practitioner 3678918620 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014884FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Dec 20, 2023 Accepting new patients
Sanford Medical Center CurrentSince Dec 20, 2023 Accepting new patients

Locations

2601 S Ellis Rd
Sioux Falls, SD 57106
Phone (605) 312-3000

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1336815034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S ELLIS RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571067067",
            "telephone_number": "605-312-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6261 Camino Dr",
            "address_purpose": "LOCATION",
            "city": "Apollo Beach",
            "state": "FL",
            "postal_code": "335723439",
            "country_code": "US",
            "telephone_number": "443-850-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELUSH",
        "first_name": "CARLEIGH",
        "middle_name": "R",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11014884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.