NPIMap

Michele M Delzer, CNP

Individual provider Active NPI Nurse Practitioner · Rapid City, SD

NPI 1508910985 · NPPES record last updated Feb 25, 2015

Key facts

NPI
1508910985
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
CP000392 (SD)
Practice address
2908 5TH St
Rapid City, SD 57701-7317
Phone
(605) 755-5228
Fax
(605) 719-4768
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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

Medicare Care Compare profile

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

  • Monument Health Rapid City Hospital Hospital · Rapid City, SD · CCN 430077

Merit-based Incentive Payment System (MIPS)

Final score
81.92 of 100 (group)
Quality
79.43
Improvement activities
40
Cost
75.12

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP000392SDMDNurse Practitioner
R026231SDMDNurse Practitioner

Practice roles

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

Locations

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

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

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000392 SD Yes
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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 25, 2015.

{
    "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

All providers in Rapid City, SD · Nurse Practitioner in South Dakota

Sources for this page

Verify at the official NPI Registry.