NPIMap

Individual provider Active NPI

Korie Kae Pravecek, CNP

  • Family Nurse Practitioner
  • Winner, SD
National Provider Identifier
1477969657
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000870 Issued in SD
Practice address
825 E 8TH St
Suite 1
Winner, SD 57580-2634
Phone
(605) 842-2626
NPI assigned
Jul 8, 2014
Last updated
Oct 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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 CP000870 SD Primary

Addresses

Primary practice location

825 E 8TH St
Suite 1
Winner, SD 57580-2634

Mailing address

28260 318TH Ave
Colome, SD 57528-6412
Phone (605) 840-0166

Other names 1

  • Korie Kae Pravecek Professional name

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
I20140929001992 SD Practitioner - Nurse Practitioner 1951521731 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Community Memorial Hospital IncGroup PAC ID 2163317900, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

300 S Byron Blvd
Chamberlain, SD 57325-9741
Phone (605) 234-5511

701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141

745 E 8TH St
Winner, SD 57580-2677
Phone (605) 842-7100

809 Jackson St
Burke, SD 57523-2065
Phone (605) 775-2621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.75 of 100Reported as group
Quality
90.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Sanford Health Network Current Accepting new patients
Winner Regional Healthcare Center CurrentSince Aug 4, 2014 Accepting new patients
Winner Regional Healthcare Center CurrentSince Aug 4, 2014 Accepting new patients
Sanford Health Network CurrentSince Aug 8, 2025 Accepting new patients
Sanford Health Network CurrentSince Aug 8, 2025 Accepting new patients
Sanford Health Network CurrentSince Aug 8, 2025 Accepting new patients
Winner Regional Healthcare Center Family Past Accepting new patients
Winner Regional Healthcare Center Past Accepting new patients

Locations

400 N Hiawatha Dr
Canton, SD 57013
Phone (605) 764-1500

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

245 S Main St
Ofc 1
Winner, SD 57580

745 E 8th St
Winner, SD 57580
Phone (605) 842-2626

825 E 8th St
Ste 1
Winner, SD 57580
Phone (605) 842-2626

825 E 8th St
Ste 100
Winner, SD 57580
Phone (605) 842-2626

Organizations & group practices 10

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 8

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1477969657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28260 318TH AVE",
            "city": "COLOME",
            "state": "SD",
            "postal_code": "575286412",
            "telephone_number": "605-840-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E 8TH ST",
            "address_2": "SUITE 1",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802634",
            "telephone_number": "605-842-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAVECEK",
        "first_name": "KORIE",
        "middle_name": "KAE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORIE",
            "last_name": "PRAVECEK",
            "middle_name": "KAE",
            "credential": "CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winner, SD

Sources for this page

Verify at the official NPI Registry.