NPIMap

Individual provider Active NPI

Cheryl L. Reagan, FNP-C

  • Family Nurse Practitioner
  • Lewistown, MT
National Provider Identifier
1396386637
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
158377 Issued in MT
Practice address
70 Cattail Dr
Lewistown, MT 59457-4123
Phone
(406) 535-7070
Fax
(406) 535-7072
NPI assigned
Oct 7, 2019
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 158377 MT Primary
Family Nurse Practitioner 363LF0000X CP001650 SD

Addresses

Primary practice location

70 Cattail Dr
Lewistown, MT 59457-4123

Mailing address

70 Cattail Dr
Lewistown, MT 59457-4123
Phone (406) 535-7070

Other practice location 1

243 Middle Valley Dr
Rapid City, SD 57701-2380
Phone (605) 390-0852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191227001861 SD Practitioner - Nurse Practitioner 9537593512 Reassigns benefits to 1 organization
I20220628000038 TX Practitioner - Nurse Practitioner 9537593512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians
Great Plains Tribal Chairmen's Health BoardGroup PAC ID 0648609917, 64 clinicians

Practice addresses (Care Compare)

1730 Haines Ave
Rapid City, SD 57701-0615
Phone (605) 791-7788

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone 60535525002356

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158377MTMDFamily Nurse Practitioner
CP001650SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Tribal Chairmen's Health Board CurrentSince Mar 15, 2022 Accepting new patients
Black Hills Surgical Hospital, LLC Current Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Nov 4, 2019 Accepting new patients

Locations

1730 Haines Ave
Rapid City, SD 57701
Phone (605) 791-7788

1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282

3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1396386637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CATTAIL DR",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594574123",
            "telephone_number": "406-535-7070",
            "fax_number": "406-535-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CATTAIL DR",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594574123",
            "telephone_number": "406-535-7070",
            "fax_number": "406-535-7072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Middle Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577012380",
            "country_code": "US",
            "telephone_number": "605-390-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "CHERYL",
        "middle_name": "L.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "158377",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

Verify at the official NPI Registry.