Individual provider Active NPI

Ryan Kocer, CNP

  • Family Nurse Practitioner
  • Wagner, SD
National Provider Identifier
1356824148
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001437 Issued in SD
Practice address
513 3Rd St SW
Wagner, SD 57380-9675
Phone
(605) 384-3611
NPI assigned
Sep 8, 2018
Last updated
Nov 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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 CP001437 SD Primary

Addresses

Primary practice location

513 3Rd St SW
Wagner, SD 57380-9675

Mailing address

PO Box 280
Wagner, SD 57380
Phone (605) 384-3418

Other identifiers 1

IdentifierTypeStateIssuer
CP001437OtherSDSOUTH DAKOTA BOARD OF NURSING LICENSURE

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
I20181228002329 SD Practitioner - Nurse Practitioner 0143565770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagner Community Memorial HospitalGroup PAC ID 3577459700, shared by 3 NPIs, 17 clinicians

Practice addresses (Care Compare)

513 3Rd St SW
Wagner, SD 57380-9675
Phone (605) 384-3611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.55 of 100Reported as group
Quality
66.54
Promoting interoperability
100
Improvement activities
40
Cost
45.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001437SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Community Memorial Hospital CurrentSince Oct 1, 2018 Accepting new patients
Wagner Community Memorial Hospital CurrentSince Oct 1, 2018 Accepting new patients
Wagner Community Memorial Hospital Family Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1356824148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "57380",
            "telephone_number": "605-384-3418",
            "fax_number": "605-384-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 3RD ST SW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573809675",
            "telephone_number": "605-384-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCER",
        "first_name": "RYAN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA BOARD OF NURSING LICENSURE",
            "identifier": "CP001437",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagner, SD

Sources for this page

Verify at the official NPI Registry.