Tiffany Lynn Ritter, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CP003284 Issued in SD

Practice address

5100 E Rosa Parks PL
Sioux Falls, SD 57110-3091

Phone

(605) 306-3240

Fax

(605) 271-3376

NPI assigned

Mar 20, 2024

Last updated

Nov 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany Lynn Wallace Former name

Medicare fee-for-service enrollment

Enrolled in SD, TN, MO3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians

Integrated Care and Consultation LLCGroup PAC ID 6002240066, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Integrated Care and Consultation, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1336702273
  Medicare reassignment Care Compare group NPD
• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  MO, SD, TN

  Medicare reassignment Care Compare group
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  SD

  Medicare reassignment NPD
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  MO, SD, TN

  Medicare reassignment

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

• Avera Queen of Peace

  dba Avera Queen of Peace Hospital

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Care Compare affiliation

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1366202194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W PATRIOT ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571070477",
            "telephone_number": "605-254-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 E ROSA PARKS PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103091",
            "telephone_number": "605-306-3240",
            "fax_number": "605-271-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R050559",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP003284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WALLACE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Renee Ritter, ST
• Larry Alfred Ritter, RPH
• Paul Charlers Ritter, LPC
• Ryan G Ritter, CRNA
• Sydney M Ritter
• Ritzman Counseling Services, Inc.
• Kelly Marie Ritzman, MS, NCC, LPC-MH, RPT
• River District Counseling LLC
• River Ridge Oral & Maxillofacial Surgical Center
• River Ridge Spine & Rehabilitation Center PC

• Psychiatric/Mental Health Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.

Verify at the official NPI Registry.