Individual provider Active NPI

McKaela Kayleen Aghbashian, CNP

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1407534332
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002882 Issued in SD
Practice address
529 Kansas City St Ste 203
Rapid City, SD 57701-3693
Phone
(605) 223-0011
Fax
(605) 674-7742
NPI assigned
Jul 10, 2023
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 CP002882 SD Primary

Addresses

Primary practice location

529 Kansas City St Ste 203
Rapid City, SD 57701-3693

Mailing address

529 Kansas City St Ste 203
Rapid City, SD 57701-3693
Phone (307) 660-6231

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
I20231107002512 SD Practitioner - Nurse Practitioner 3971950304 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP002882SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Oct 23, 2024 Accepting new patients
Careconnectmd South Dakota PC CurrentSince May 1, 2024 Accepting new patients
Monument Health Network, Inc. CurrentSince Oct 23, 2024 Accepting new patients
Monument Health Network, Inc. CurrentSince Oct 23, 2024 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients

Locations

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

1065 Montgomery St
Custer, SD 57730
Phone (605) 343-4958

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

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

Interoperability endpoints

  • Direct secure messaging: maghbashian.79809@regionalhealth.sdhealthlink.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1407534332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 KANSAS CITY ST STE 203",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013693",
            "telephone_number": "307-660-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 KANSAS CITY ST STE 203",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013693",
            "telephone_number": "605-223-0011",
            "fax_number": "605-674-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHBASHIAN",
        "first_name": "MCKAELA",
        "middle_name": "KAYLEEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-01-29",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.