Individual provider Active NPI

Kristine Marie Larson, CNP

  • Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1508334756
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP001463 Issued in SD
Practice address
5410 Sheridan Lake Rd Ste 200
Rapid City, SD 57702-9208
Phone
(605) 508-3000
Fax
(605) 401-6696
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 CP001463 SD Primary

Addresses

Primary practice location

5410 Sheridan Lake Rd Ste 200
Rapid City, SD 57702-9208

Mailing address

5410 Sheridan Lake Rd Ste 200
Rapid City, SD 57702-9208
Phone (605) 508-3000

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
I20190103001372 SD Practitioner - Nurse Practitioner 2365787850

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, shared by 3 NPIs, 173 clinicians

Practice addresses (Care Compare)

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 791-7777

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid City Medical Center, LLP Current Accepting new patients

Locations

241 Minnesota St
Rapid City, SD 57701
Phone (605) 275-1263

2820 Mount Rushmore Rd
#0
Rapid City, SD 57701

101 E Minnesota St
Ste 210
Rapid City, SD 57701
Phone (605) 341-1122

2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121

120 E Michigan St
Ste 200
Spearfish, SD 57783
Phone (605) 559-3201

Interoperability endpoints

  • Direct secure messaging: kristine.larson@rcmc.eclinicaldirectplus.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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1508334756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 SHERIDAN LAKE RD STE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029208",
            "telephone_number": "605-508-3000",
            "fax_number": "605-401-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 SHERIDAN LAKE RD STE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029208",
            "telephone_number": "605-508-3000",
            "fax_number": "605-401-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.