Jenna Anne Weidenbach

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

353 Fairmont Blvd
Rapid City, SD 57701-7375

Phone

(605) 755-8222

NPI assigned

Mar 27, 2023

Last updated

Apr 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Monument Health Network, Inc.

  dba Monument Health Lead-Deadwood Hospital

  • Critical Access Hospital
  • Deadwood, SD
  • NPI 1174590806
  Medicare reassignment NPD
• Monument Health Network, Inc.

  dba Monument Health Hot Springs Clinic

  • Multi-Specialty Clinic/Center
  • Hot Springs, SD
  • NPI 1588185268
  Medicare reassignment
• Rapid City Emergency Services PA

  • Emergency Medicine Physician
  • Rapid City, SD
  • NPI 1780621045
  Medicare reassignment
• Monument Health Network, Inc.

  dba Monument Health Lead-Deadwood Hospital

  • Multi-Specialty Clinic/Center
  • Deadwood, SD
  • NPI 1255377412
  NPD
• Monument Health Network, Inc.

  dba Monument Health Custer Clinic

  • Family Medicine Physician
  • Custer, SD
  • NPI 1427243963
  NPD

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1356045389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20170 WAGON BOX RD",
            "city": "WHITEWOOD",
            "state": "SD",
            "postal_code": "577936436",
            "telephone_number": "605-484-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017375",
            "telephone_number": "605-755-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENBACH",
        "first_name": "JENNA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Weglin, BS
• Larry L Wehrkamp, MD
• Pauline Susan Weichler, OD
• Michael Eugene Weideman
• Cindy Weidenbach
• Kevin Weiland
• Taylor Weitzel, RBT
• Renae Elizabeth Welke, OD
• Bryan J Wellman, MD
• Wellspring

• Physician Assistant in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.

Verify at the official NPI Registry.