Individual provider Active NPI

Michele R Plooster, CNP

  • Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1508178666
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000593 Issued in SD
Practice address
1621 Sheridan Lake Rd Ste B
Rapid City, SD 57702-3432
Phone
(605) 388-2655
Fax
(605) 388-5546
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 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 CP000593 SD Primary

Addresses

Primary practice location

1621 Sheridan Lake Rd Ste B
Rapid City, SD 57702-3432

Mailing address

1621 Sheridan Lake Rd Ste B
Rapid City, SD 57702-3432
Phone (605) 391-0561

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michele@integratedwomenshealth.org Direct

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
I20100909001181 SD Practitioner - Nurse Practitioner 6901921220 Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1621 Sheridan Lake Rd
Suite B
Rapid City, SD 57702-3432
Phone (605) 388-2655

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Women'S Health LLC PastSince Feb 14, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michele.plooster@bhobgyn.directbygreenway.com

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1508178666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 SHERIDAN LAKE RD STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023432",
            "telephone_number": "605-391-0561",
            "fax_number": "605-388-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 SHERIDAN LAKE RD STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023432",
            "telephone_number": "605-388-2655",
            "fax_number": "605-388-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOOSTER",
        "first_name": "MICHELE",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michele@integratedwomenshealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1621 Sheridan Lake Rd Ste B",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577023432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.