Stephanie M Powers, NP-C
Individual provider Active NPI Family Nurse Practitioner · Kirtland Afb, NM
NPI 1598046583 · NPPES record last updated Sep 2, 2011
Key facts
- NPI
- 1598046583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R032459 (SD)
- Practice address
- 2050A Second Street SE
Kirtland Afb, NM 87117-5522 - Phone
- (505) 846-3317
- Fax
- (505) 846-3701
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Rapid City Hospital Inc
Practice addresses (Care Compare)
375 Berky Dr
Box Elder, SD 57719-8060
Phone (605) 755-2273
Hospital & facility affiliations
- Monument Health Rapid City Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260115000833 | SD | Practitioner - Nurse Practitioner | 2961648365 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R032459 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Past | Accepting new patients |
Locations
375 Berky Dr
Box Elder, SD 57719
2526 Elderberry Blvd
Rapid City, SD 57703
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
2116 Jackson Blvd
Rapid City, SD 57702
Phone (605) 755-3300
1303 N Lacrosse St
Rapid City, SD 57701
Phone (605) 755-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R032459 | SD | Yes |
Addresses
Primary practice location
2050A Second Street SE
Kirtland Afb, NM 87117-5522
Mailing address
2050A Second Street SE
Kirtland Afb, NM 87117-5522
Phone (505) 846-3317
Other providers in Kirtland Afb, NM
- Michael Jonathan Paston
- John Keith Paul III
- Daniel Pena
- Monica Pierce-Wysong
- Thomas Powell
- Bryan Presler
- David Allan Quackenbush
- Martha Vanessa Ragsdale
- Winfield Scott Revels
- Adamaris Rivera Santiago
All providers in Kirtland Afb, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.