NPIMap

Individual provider Active NPI

Brenda Berry, NP FNP

  • Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1538509641
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000796 Issued in SD
Practice address
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone
(605) 755-8222
Fax
(605) 719-4203
NPI assigned
Jul 3, 2013
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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 CP000796 SD Primary
Family Nurse Practitioner 363LF0000X CP000796 SD

Addresses

Primary practice location

353 Fairmont Blvd
Rapid City, SD 57701-7375

Mailing address

PO Box 912882
Denver, CO 80291-2882
Phone (866) 765-0909

Other practice location 1

4150 5th St
Rapid City, SD 57701-6022
Phone (605) 399-4300

Other identifiers 3

IdentifierTypeStateIssuer
1471585MedicaidND
1538509641MedicaidSD
1538509641MedicaidCO

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
I20131003000161 SD Practitioner - Nurse Practitioner 6204060304 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid City Emergency Services PAGroup PAC ID 7315934171, 23 clinicians

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.16 of 100Reported as group
Quality
99.03
Improvement activities
40
Cost
78.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000796SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Nov 4, 2025 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Mar 2, 2015 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Mar 2, 2015 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Network, Inc. CurrentSince Nov 4, 2025 Accepting new patients
Monument Health Network, Inc. CurrentSince Nov 4, 2025 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Fall River Health Services CurrentSince Sep 1, 2025 Accepting new patients
Rapid City Emergency Services PA Nurse Practitioner CurrentSince Jul 1, 2017 Accepting new patients
Fall River Health Services CurrentSince Sep 1, 2025 Accepting new patients

Locations

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

1201 Highway 71 S
Hot Springs, SD 57747
Phone (605) 745-3159

1303 N Lacrosse St
Rapid City, SD 57701
Phone (605) 755-6600

2116 Jackson Blvd
Rapid City, SD 57702
Phone (605) 755-3300

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

4150 5th St
Rapid City, SD 57701
Phone (605) 399-4300

1445 North Ave
Spearfish, SD 57783
Phone (605) 347-2536

Organizations & group practices 10

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1538509641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912882",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802912882",
            "telephone_number": "866-765-0909",
            "fax_number": "855-856-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017375",
            "telephone_number": "605-755-8222",
            "fax_number": "605-719-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 5th St",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577016022",
            "country_code": "US",
            "telephone_number": "605-399-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "BRENDA",
        "credential": "NP FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000796",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1471585",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538509641",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538509641",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.