Individual provider Active NPI

Susan A Matthew, CNP

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1356313811
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0284 Issued in SD
Practice address
7236 Jordan Drive Suite 101
Rapid City, SD 57701
Phone
(605) 341-5565
Fax
(605) 341-5595
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0284 SD Primary

Addresses

Primary practice location

7236 Jordan Drive Suite 101
Rapid City, SD 57701

Mailing address

7236 Jordan Drive Suite 101
PO Box 6540
Rapid City, SD 57709-6540
Phone (605) 341-5565

Other identifiers 3

IdentifierTypeStateIssuer
0040887OtherSDWELLMARK BCBS NUMBER
311949OtherWYWY BCBS NUMBER
6824580MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0284SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Dermatology PC Past Accepting new patients
Rapid City Medical Center, LLP PastSince Nov 1, 2021 Accepting new patients

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356313811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 JORDAN DRIVE SUITE 101",
            "address_2": "PO BOX 6540",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577096540",
            "telephone_number": "605-341-5565",
            "fax_number": "605-341-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 JORDAN DRIVE SUITE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-341-5565",
            "fax_number": "605-341-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "0284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS NUMBER",
            "identifier": "0040887",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY BCBS NUMBER",
            "identifier": "311949",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6824580",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.