Active NPI
Debra Ann Kolecka, CNP
- Family Nurse Practitioner
- Yankton, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP000160
- Practice address
- 1005 W 8TH St
Yankton, SD 57078-3389 - Phone
- (605) 668-6000
- Fax
- (605) 668-6110
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000160 | SD | Primary |
Addresses
Primary practice location
1005 W 8TH St
Yankton, SD 57078-3389
Mailing address
1005 W 8TH St
Yankton, SD 57078-3389
Phone (605) 668-6000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150804004777 | SD | Order and Referring Only - Nurse Practitioner | 3375777246 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000160 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera at Home | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 29
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Avera Missouri River Health Center | Hospital | Corporate Director | Jul 1, 2023 |
| Avera Missouri River Health Center | Hospital | Corporate Director | Jul 1, 2023 |
| Avera Sacred Heart Hospital | Hospital | Corporate Director | Jul 1, 2017 |
| Avera Sacred Heart Hospital | Hospital | Corporate Director | Jul 1, 2017 |
| Avera St Marys Hospital | Hospital | Corporate Director | Jul 1, 2025 |
| Avera Creighton Hospital | Hospital | Corporate Director | Jul 1, 2017 |
| Avera Creighton Hospital | Hospital | Corporate Director | Jul 1, 2017 |
| Avera Maryhouse Long Term Care | Skilled nursing facility | Managing Control - Governing Body | Jul 1, 2024 |
| Avera Sister James Care Center | Skilled nursing facility | Corporate Director | Jul 1, 2017 |
| Avera Creighton Care Centre | Skilled nursing facility | Corporate Director | Jul 1, 2017 |
| Avera@Home | Home health agency | Corporate Director | Jul 1, 2013 |
| Avera@Home | Home health agency | Corporate Director | Jul 1, 2013 |
| Avera@Home | Home health agency | Corporate Director | Jul 1, 2013 |
| Avera@Home | Home health agency | Corporate Director | Jul 1, 2013 |
| Avera@Home | Home health agency | Corporate Director | Jul 1, 2013 |
| Avera@Home | Home health agency | Corporate Director | Jul 1, 2013 |
| Avera@Home | Home health agency | Corporate Director | Jul 1, 2013 |
| Avera@Home | Home health agency | Corporate Director | Jul 1, 2013 |
| Avera@Home | Hospice | Corporate Director | Jul 1, 2013 |
| Avera@Home | Hospice | Corporate Director | Jul 1, 2013 |
| Avera@Home | Hospice | Corporate Director | Jul 1, 2013 |
| Avera@Home | Hospice | Corporate Director | Jul 1, 2013 |
| Avera@Home | Hospice | Corporate Director | Jul 1, 2013 |
| Avera@Home | Hospice | Corporate Director | Jul 1, 2013 |
| Avera@Home | Hospice | Corporate Director | Jul 1, 2013 |
| Avera Hartington Clinic | Rural health clinic | Corporate Director | Jul 1, 2017 |
| Avera Crofton Clinic | Rural health clinic | Corporate Director | Jul 1, 2017 |
| Avera Medical Group Verdigre | Rural health clinic | Corporate Director | Jul 1, 2017 |
| Avera Medical Group Pierce | Rural health clinic | Corporate Director | Jul 1, 2017 |
Owned or controlled facilities with NPI records 36
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Avera@Home
- Community Based Hospice Care Agency
- Yankton, SD
- NPI 1003982893
Corporate Director
-
dba Avera@Home
- Community Based Hospice Care Agency
- Aberdeen, SD
- NPI 1194777961
Corporate Director
-
dba Avera@Home
- Community Based Hospice Care Agency
- Pierre, SD
- NPI 1427488212
Corporate Director
-
dba Avera @ Home
- Community Based Hospice Care Agency
- Milbank, SD
- NPI 1467565325
Corporate Director
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487723474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W 8TH ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783389",
"telephone_number": "605-668-6000",
"fax_number": "605-668-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W 8TH ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783389",
"telephone_number": "605-668-6000",
"fax_number": "605-668-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLECKA",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.