NPIMap

Individual provider Active NPI

Connie Belford, C.N.P.

  • Family Nurse Practitioner
  • Gettysburg, SD
National Provider Identifier
1588095038
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SD-CNP CP000830 Issued in SD
Practice address
606 E Garfield Ave Ste C
Gettysburg, SD 57442-1325
Phone
(605) 765-2273
Fax
(605) 765-2474
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R 0057542 OK
Family Nurse Practitioner 363LF0000X SD-CNP CP000830 SD Primary

Addresses

Primary practice location

606 E Garfield Ave Ste C
Gettysburg, SD 57442-1325

Mailing address

606 E Garfield Ave
Gettysburg, SD 57442-1325
Phone (605) 765-2273

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
I20140606000054 SD Practitioner - Nurse Practitioner 2466676762 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera GettysburgGroup PAC ID 4284619362, shared by 3 NPIs, 12 clinicians

Practice addresses (Care Compare)

606 E Garfield Ave
Suite C
Gettysburg, SD 57442-1325
Phone (605) 765-2273

Hospital & facility affiliations

  • Avera @ Home Home health agency, Pierre, SD, CCN 437046
  • Avera Missouri River Health Center Hospital, Gettysburg, SD, CCN 431302
  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015
  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Avera Missouri River Health Center Nursing home, CCN 43Z302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R 0057542OKMDFamily Nurse Practitioner
SD-CNP CP000830SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care, Inc. CurrentSince Mar 10, 2014 Accepting new patients
Avera St Marys CurrentSince Aug 9, 2023 Accepting new patients
Avera St Marys CurrentSince Aug 9, 2023 Accepting new patients
Avera Gettysburg Current Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Rural Health Care, Inc CurrentSince Mar 10, 2014 Accepting new patients
Avera Gettysburg CurrentSince Oct 1, 2019 Accepting new patients
Avera McKennan Family Past Accepting new patients
Avera Gettysburg Past Accepting new patients

Locations

608 E Garfield Ave
Gettysburg, SD 57442
Phone (605) 765-2273

606 E Garfield Ave
Ste C
Gettysburg, SD 57442
Phone (605) 765-2273

606 E Garfield Ave
Gettysburg, SD 57442
Phone (605) 765-2273

200 Commercial Ave SE
Highmore, SD 57345
Phone (605) 852-2238

Interoperability endpoints

  • Direct secure messaging: connie.belford@avera.sdhealthlink.net

Organizations & group practices 9

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 6

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": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1588095038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E GARFIELD AVE",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421325",
            "telephone_number": "605-765-2273",
            "fax_number": "605-765-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E GARFIELD AVE STE C",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421325",
            "telephone_number": "605-765-2273",
            "fax_number": "605-765-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELFORD",
        "first_name": "CONNIE",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R 0057542",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "SD-CNP CP000830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, SD

Sources for this page

Verify at the official NPI Registry.