Individual provider Active NPI

Debra Ann Kolecka, CNP

  • Family Nurse Practitioner
  • Yankton, SD
National Provider Identifier
1487723474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000160 Issued in SD
Practice address
1005 W 8TH St
Yankton, SD 57078-3389
Phone
(605) 668-6000
Fax
(605) 668-6110
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
CP000160SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera at Home PastSince Jul 1, 2013 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.

FacilityTypeRoleSince
Avera Missouri River Health CenterGettysburg, SD, CCN 431302 Hospital Corporate Director Jul 1, 2023
Avera Missouri River Health CenterGettysburg, SD, CCN 43Z302 Hospital Corporate Director Jul 1, 2023
Avera Sacred Heart HospitalYankton, SD, CCN 43U012 Hospital Corporate Director Jul 1, 2017
Avera Sacred Heart HospitalYankton, SD, CCN 430012 Hospital Corporate Director Jul 1, 2017
Avera St Marys HospitalPierre, SD, CCN 430015 Hospital Corporate Director Jul 1, 2025
Avera Creighton HospitalCreighton, NE, CCN 281331 Hospital Corporate Director Jul 1, 2017
Avera Creighton HospitalCreighton, NE, CCN 28Z331 Hospital Corporate Director Jul 1, 2017
Avera Maryhouse Long Term CarePierre, SD, CCN 435034 Skilled nursing facility Managing Control - Governing Body Jul 1, 2024
Avera Sister James Care CenterYankton, SD, CCN 435070 Skilled nursing facility Corporate Director Jul 1, 2017
Avera Creighton Care CentreCreighton, NE, CCN 285284 Skilled nursing facility Corporate Director Jul 1, 2017
Avera@HomeMitchell, SD, CCN 437041 Home health agency Corporate Director Jul 1, 2013
Avera@HomeAberdeen, SD, CCN 437024 Home health agency Corporate Director Jul 1, 2013
Avera@HomeEstherville, IA, CCN 167120 Home health agency Corporate Director Jul 1, 2013
Avera@HomePierre, SD, CCN 437046 Home health agency Corporate Director Jul 1, 2013
Avera@HomeYankton, SD, CCN 437006 Home health agency Corporate Director Jul 1, 2013
Avera@HomeMilbank, SD, CCN 437053 Home health agency Corporate Director Jul 1, 2013
Avera@HomeOneill, NE, CCN 287071 Home health agency Corporate Director Jul 1, 2013
Avera@HomeSioux Falls, SD, CCN 437084 Home health agency Corporate Director Jul 1, 2013
Avera@HomeMitchell, SD, CCN 431507 Hospice Corporate Director Jul 1, 2013
Avera@HomeSioux Falls, SD, CCN 431503 Hospice Corporate Director Jul 1, 2013
Avera@HomeAberdeen, SD, CCN 431508 Hospice Corporate Director Jul 1, 2013
Avera@HomeEstherville, IA, CCN 161501 Hospice Corporate Director Jul 1, 2013
Avera@HomePierre, SD, CCN 431512 Hospice Corporate Director Jul 1, 2013
Avera@HomeYankton, SD, CCN 431505 Hospice Corporate Director Jul 1, 2013
Avera@HomeMilbank, SD, CCN 431515 Hospice Corporate Director Jul 1, 2013
Avera Hartington ClinicHartington, NE, CCN 283428 Rural health clinic Corporate Director Jul 1, 2017
Avera Crofton ClinicCrofton, NE, CCN 283427 Rural health clinic Corporate Director Jul 1, 2017
Avera Medical Group VerdigreVerdigre, NE, CCN 283466 Rural health clinic Corporate Director Jul 1, 2017
Avera Medical Group PiercePierce, NE, CCN 288509 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.

View all 36

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 and National Provider Directory roles.

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

Verify at the official NPI Registry.