Kip Littau, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Plankinton, SD
NPI 1497582340 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1497582340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CP003375 (SD)
- Practice address
- 104 W Commerce St
Plankinton, SD 57368-2083 - Phone
- (605) 299-8234
- NPI assigned
- Sep 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hometown Family Health PLLC
Practice addresses (Care Compare)
104 W Commerce St
Plankinton, SD 57368-2083
Phone (605) 299-8234
Hospital & facility affiliations
- Avera Queen of Peace
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241016003215 | SD | Practitioner - Nurse Practitioner | 6305378274 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP003375 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Family Health PLLC | Single Specialty | Current |
Accepting new patients |
| Aurora Brule Nursing Home, Inc. | Past | Accepting new patients |
Locations
408 S Johnston St
White Lake, SD 57383
Phone (605) 249-2216
Interoperability endpoints
- kip.littau.1@26394.direct.athenahealth.com
- https://api.platform.athenahealth.com/26394/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | CP003375 | SD | Yes |
Addresses
Primary practice location
104 W Commerce St
Plankinton, SD 57368-2083
Mailing address
40430 237TH St
Letcher, SD 57359-6104
Phone (605) 842-6625
Other providers in Plankinton, SD
- Alyssa Rochelle Hofer
- Hometown Family Health PLLC
- Hometown Family Health PLLC
- Horizon Health Care Inc
- Horizon Health Care, Inc.
- Jennalee Ann Olsen
- Plankinton Ambulance Association Inc
- Plankinton School District 1 1
- Sanford Health Network
- Jewell Wonnell
All providers in Plankinton, SD · Family Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.