Individual provider Active NPI

Deborah Kullerd, MD

  • Family Medicine Physician
  • Nemo, SD
National Provider Identifier
1528031499
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3763 Issued in SD
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

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospice, Belle Fourche, SD, CCN 431523
  • Prairie Lakes Hospice Hospice, Watertown, SD, CCN 431504
  • Monument Health Spearfish Hospital Hospital, Spearfish, SD, CCN 430048

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
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

LicenseStateTypeSpecialty
3763SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. Current Accepting new patients
Legacy Medical LLC CurrentSince Jul 8, 2024 Accepting new patients
Monument Health Network, Inc. Family Medicine CurrentSince Sep 18, 2015 Accepting new patients
Legacy Primary Care PLLC CurrentSince Oct 15, 2024 Accepting new patients
Monument Health Network, Inc. CurrentSince Sep 18, 2015 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

  • FHIR API: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.