NPIMap

Individual provider Active NPI

Jakob Gabriel Hertel, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1447978028
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002487 Issued in SD
Practice address
6100 S Louise Ave # 2100
Sioux Falls, SD 57108-6029
Phone
(605) 504-1100
NPI assigned
Aug 18, 2022
Last updated
Oct 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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 CP002487 SD Primary

Addresses

Primary practice location

6100 S Louise Ave # 2100
Sioux Falls, SD 57108-6029

Mailing address

607 Saint Jerome St
Harrisburg, SD 57032-2241
Phone (605) 254-6459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 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
I20221114001703 SD Practitioner - Nurse Practitioner 7719354299 Reassigns benefits to 1 organization
I20221116001881 IA Practitioner - Nurse Practitioner 7719354299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (605) 504-1100

1200 1St Ave E
Spencer, IA 51301-4342

6100 S Louise Ave
Sioux Falls, SD 57108-6029

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP002487SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Sep 26, 2022 Accepting new patients
Avera McKennan Orthopaedic Surgery CurrentSince Oct 4, 2022 Accepting new patients
Sioux Center Health CurrentSince Oct 24, 2022 Accepting new patients
Sioux Center Health Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Sep 26, 2022 Accepting new patients
Sioux Center Health CurrentSince Oct 24, 2022 Accepting new patients
Sioux Center Health Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients
Sioux Center Health Past Accepting new patients

Locations

826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631

807 Main St
Ste D
Hull, IA 51239
Phone (712) 439-1315

1101 9th St SE
Sioux Center, IA 51250
Phone (712) 722-1271

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

6100 S Louise Ave
#2100
Sioux Falls, SD 57108
Phone (605) 504-1100

Organizations & group practices 11

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1447978028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SAINT JEROME ST",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "570322241",
            "telephone_number": "605-254-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE # 2100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086029",
            "telephone_number": "605-504-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTEL",
        "first_name": "JAKOB",
        "middle_name": "GABRIEL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-10-15",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.