Cynthia Jane Pallesen, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R017439 Issued in SD

Practice address

105 S State St
Ste 113
Aberdeen, SD 57401-4501

Phone

(605) 622-4000

Fax

(605) 626-3399

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Miss Cindy Jane Horton Former name

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marshall County Memorial HospitalGroup PAC ID 2668567215, shared by 3 NPIs, 11 clinicians

Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cynthia.pallesen@avera.sdhealthlink.net

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.

• Sanford Medical Center

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• Marshall County Memorial Hospital

  • Critical Access Hospital
  • Britton, SD
  • NPI 1558360388
  Medicare reassignment NPD
• Marshall County Memorial Hospital

  • Rural Health Clinic/Center
  • Britton, SD
  • NPI 1902280837
  Medicare reassignment NPD
• Sanford Clinic

  • Psychologist
  • Sioux Falls, SD
  • NPI 1396764254

  Nurse Practitioner

  Medicare reassignment NPD
• American Advanced Practice Network, P.C.

  • Nurse Practitioner
  • Watertown, SD
  • NPI 1790244341
  NPD
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  • Rural Health Clinic/Center
  • Milbank, SD
  • NPI 1750488730
  NPD
• Sanford Clinic

  • Family Medicine Physician
  • Watertown, SD
  • NPI 1801840632
  NPD
• Sanford Clinic

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD
• Hoven Medical Clinic Inc.

  • Rural Health Clinic/Center
  • Hoven, SD
  • NPI 1003886250
  NPD (past)
• Sanford Clinic

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
  • NPI 1144259052

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1407935901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S STATE ST",
            "address_2": "STE 113",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014501",
            "telephone_number": "605-622-4000",
            "fax_number": "605-626-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLESEN",
        "first_name": "CYNTHIA",
        "middle_name": "JANE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R141881-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "R017439",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R36847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19855",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PVN",
            "identifier": "8Y4021",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD RN LICENSE NUMBER",
            "identifier": "R017439",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE CERT",
            "identifier": "MP0470550",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN RN LICENSURE",
            "identifier": "R141881-1",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "HORTON",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Robert G Patterson, EDD LIC PSYCHOLOGIST
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• Abbie Paulson, CPM,LM
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• Family Nurse Practitioner in Aberdeen, SD
• Providers in Aberdeen, 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 8, 2016; 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.