Active NPI
Deborah Kullerd, MD
- Family Medicine Physician
- Nemo, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3763
- Practice address
- PO Box 154
Nemo, SD 57759-0154 - Phone
- (605) 645-2185
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 3763 | SD | |
| Family Medicine Physician | 207Q00000X | 3763 | SD | Primary |
Addresses
Primary practice location
PO Box 154
Nemo, SD 57759-0154
Mailing address
PO Box 154
Nemo, SD 57759-0154
Phone (605) 645-2185
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060420000724 | SD | Practitioner - Family Practice | 4082524905 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1989
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
353 Fairmont Blvd
Rapid City, SD 57701-7393
Hospital & facility affiliations
- Heartland Home Health & Hospice LLC
- Prairie Lakes Hospice
- Monument Health Spearfish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.23 of 100
- Quality
- 81.84
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 70.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3763 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Legacy Medical LLC | Current | Accepting new patients | |
| Monument Health Network, Inc. | Family Medicine | Current | Accepting new patients |
| Legacy Primary Care PLLC | Current | Accepting new patients | |
| Monument Health Network, Inc. | Current | Accepting new patients |
Locations
600 S 2nd St
Ste 200
Bismarck, ND 58504
Phone (701) 757-5463
10907 Sourdough Rd
Ste 1
Belle Fourche, SD 57717
61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000
4001 Derby Ln
Ste 1
Rapid City, SD 57701
1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000
1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414
1445 North Ave
Spearfish, SD 57783
Phone (605) 347-2536
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCIBCD
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Belle Fourche, SD
- NPI 1548649841
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Belle Fourche, SD
- NPI 1972779957
Hospital
-
- Community Based Hospice Care Agency
- Watertown, SD
- NPI 1467480640
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1528031499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 154",
"city": "NEMO",
"state": "SD",
"postal_code": "577590154",
"telephone_number": "605-645-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 154",
"city": "NEMO",
"state": "SD",
"postal_code": "577590154",
"telephone_number": "605-645-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULLERD",
"first_name": "DEBORAH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "SD",
"license": "3763",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "3763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nemo, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.