Kimberly Jo Sebert, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023208823 Issued in SD

Practice address

507 Charles St
Mitchell, SD 57301-3998

Phone

(605) 999-2350

NPI assigned

Sep 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huron Clinic Foundation LTDGroup PAC ID 9739071069, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huron Regional Medical Center Hospital, Huron, SD, CCN 431335

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.sebert.1@11885.direct.athenahealth.com

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.

• Huron Clinic Foundation LTD

  • Family Medicine Physician
  • Huron, SD
  • NPI 1184626962
  Medicare reassignment Care Compare group NPD

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

• Huron Regional Medical Center Inc

  • Critical Access Hospital
  • Huron, SD
  • NPI 1154312429
  Care Compare affiliation

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1407673981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CHARLES ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013998",
            "telephone_number": "605-999-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 CHARLES ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013998",
            "telephone_number": "605-999-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBERT",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "2023208823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Cherie Schroeder, PMHNP-BC
• Tiana Schroeder, PT, DPT
• Tyson Schulz, MSW
• Melanie Irene Schuppan, REGISTERED NURSE
• Sears Holding Co
• Clinton Lyle Seifert, MD
• Teah Serr
• Sheila D. Grieve Optometry, Prof. LLC
• Patricia Larson Shields, AUD
• Jennifer Shin

• Family Nurse Practitioner in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.