Individual provider Active NPI

Kristina Danielle Jurgensen, APRN CNP

  • Family Nurse Practitioner
  • Spearfish, SD
National Provider Identifier
1376240739
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002680 Issued in SD
Practice address
1445 N Main St
Spearfish, SD 57783-1427
Phone
(605) 644-4244
Fax
(605) 644-4224
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 CP002680 SD Primary

Addresses

Primary practice location

1445 N Main St
Spearfish, SD 57783-1427

Mailing address

PO Box 204
Spearfish, SD 57783-0204
Phone (605) 759-3801

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
I20230720002756 SD Practitioner - Nurse Practitioner 7012377187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians
Midwest Heart and Vascular AssociatesGroup PAC ID 0143745919, 3 clinicians

Practice addresses (Care Compare)

1440 N Main St
Spearfish, SD 57783-1505
Phone (605) 644-4000

2805 5TH St
Suite 200
Rapid City, SD 57701-7386
Phone (917) 231-9971

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd South Dakota PC CurrentSince May 1, 2024 Accepting new patients
Monument Health Network, Inc. CurrentSince May 2, 2025 Accepting new patients
Midwest Heart and Vascular Associates CurrentSince Oct 1, 2025 Accepting new patients
Queen City Regional Medical Clinic Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2000 Wesleyan Blvd
Rapid City, SD 57702
Phone (605) 343-3555

1620 N 7th St
Rapid City, SD 57701
Phone (605) 343-4958

916 Mountain View Rd
Rapid City, SD 57702
Phone (605) 343-4958

2805 5th St
Ste 200
Rapid City, SD 57701
Phone (605) 343-6691

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

1020 N 10th St
Spearfish, SD 57783
Phone (605) 642-2716

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1376240739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577830204",
            "telephone_number": "605-759-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N MAIN ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831427",
            "telephone_number": "605-644-4244",
            "fax_number": "605-644-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGENSEN",
        "first_name": "KRISTINA",
        "middle_name": "DANIELLE",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.