NPIMap

Individual provider Active NPI

Janelle Kay Kriz, CNP

  • Family Nurse Practitioner
  • Tyndall, SD
National Provider Identifier
1427674779
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001768 Issued in SD
Practice address
410 W 16TH Ave
Tyndall, SD 57066-2318
Phone
(605) 589-2190
NPI assigned
Jun 23, 2020
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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 CP001768 SD Primary

Addresses

Primary practice location

410 W 16TH Ave
Tyndall, SD 57066-2318

Mailing address

41779 301St St
Tyndall, SD 57066-5610
Phone (605) 660-3243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924002175 SD Practitioner - Nurse Practitioner 4981023918 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Michael's Hospital, Inc.Group PAC ID 2668380262, 16 clinicians

Practice addresses (Care Compare)

410 W 16TH Ave
Tyndall, SD 57066-2318
Phone (605) 589-2158

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001768SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Brookings Current Accepting new patients
Sacred Heart Health Services CurrentSince Mar 19, 2021 Accepting new patients
Sacred Heart Health Services CurrentSince Mar 19, 2021 Accepting new patients
St. Michael's Hospital, Inc. CurrentSince Nov 1, 2020 Accepting new patients
St. Michael's Hospital, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
City of Brookings CurrentSince May 22, 2023 Accepting new patients
City of Brookings Current Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

410 W 16th Ave
Tyndall, SD 57066
Phone (605) 589-2158

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 9

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 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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1427674779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41779 301ST ST",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570665610",
            "telephone_number": "605-660-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 16TH AVE",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570662318",
            "telephone_number": "605-589-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZ",
        "first_name": "JANELLE",
        "middle_name": "KAY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyndall, SD

Sources for this page

Verify at the official NPI Registry.