NPIMap

Individual provider Active NPI

Jessica Lynnae Hart, NP-BC

  • Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1477226330
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP002076 Issued in SD
Practice address
2929 5TH St
Rapid City, SD 57701-7363
Phone
(605) 755-1309
Fax
(605) 755-1303
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP002076 SD Primary

Addresses

Primary practice location

2929 5TH St
Rapid City, SD 57701-7363

Mailing address

2929 5TH St
Rapid City, SD 57701-7363
Phone (605) 755-1309

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
I20210902002770 SD Practitioner - Nurse Practitioner 4981000742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2929 5TH St
Rapid City, SD 57701-7363
Phone (605) 755-1309

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Aug 11, 2021 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Aug 11, 2021 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

2929 5th St
Ste 240
Rapid City, SD 57701
Phone (605) 341-3770

2929 5th St
Rapid City, SD 57701
Phone (605) 342-2852

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1477226330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017363",
            "telephone_number": "605-755-1309",
            "fax_number": "605-755-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017363",
            "telephone_number": "605-755-1309",
            "fax_number": "605-755-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JESSICA",
        "middle_name": "LYNNAE",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP002076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.