NPIMap

Individual provider Active NPI

Michele M Delzer, CNP

  • Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1508910985
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000392 Issued in SD
Practice address
2908 5TH St
Rapid City, SD 57701-7317
Phone
(605) 755-5228
Fax
(605) 719-4768
NPI assigned
Jan 22, 2007
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000392 SD Primary
Nurse Practitioner 363L00000X R026231 SD

Addresses

Primary practice location

2908 5TH St
Rapid City, SD 57701-7317

Mailing address

631 Saint Anne St Ste 102
PO Box 2760
Rapid City, SD 57701-4693
Phone (605) 343-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317001116 SD Practitioner - Nurse Practitioner 0941190524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2640 Jackson Blvd
Suite 3
Rapid City, SD 57702-3400
Phone (605) 697-5337

3939 Canyon Lake Dr
Suite B
Rapid City, SD 57702-0807

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.92 of 100Reported as group
Quality
79.43
Improvement activities
40
Cost
75.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000392SDMDNurse Practitioner
R026231SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Apr 9, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Rapid City Health Professionals LLC CurrentSince Jun 20, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Apr 9, 2024 Accepting new patients

Locations

2908 5th St
Rapid City, SD 57701
Phone (605) 719-1100

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

3939 Canyon Lake Dr
Ste B
Rapid City, SD 57702
Phone (605) 716-3555

640 Flormann St
Ste 300
Rapid City, SD 57701
Phone (605) 718-3300

Organizations & group practices 4

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1508910985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SAINT ANNE ST STE 102",
            "address_2": "PO BOX 2760",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014693",
            "telephone_number": "605-343-1333",
            "fax_number": "605-343-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017317",
            "telephone_number": "605-755-5228",
            "fax_number": "605-719-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELZER",
        "first_name": "MICHELE",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000392",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "R026231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.