Active NPI
Ryan Kocer, CNP
- Family Nurse Practitioner
- Wagner, SD
National Provider Identifier
1356824148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP001437
- Practice address
- 513 3Rd St SW
Wagner, SD 57380-9675 - Phone
- (605) 384-3611
- NPI assigned
- Sep 8, 2018
- Last updated
- Nov 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP001437 | Other | SD | SOUTH 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
Enrollment records 1
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 Hospital
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| CP001437 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | 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.
-
- Critical Access Hospital
- Wagner, SD
- NPI 1326030974
-
- Family Medicine Physician
- Wagner, SD
- NPI 1740306992
-
- Medicare Defined Swing Bed Hospital Unit
- Wagner, SD
- NPI 1629135645
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wagner, SD
- NPI 1326030974
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.