Abbie Jennings, NP
Individual provider Active NPI Nurse Practitioner · Rapid City, SD
NPI 1609129709 · NPPES record last updated Dec 18, 2018
Key facts
- NPI
- 1609129709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CP000743 (SD)
- Practice address
- 353 Fairmont Blvd
Rapid City, SD 57701-7375 - Phone
- (605) 755-8222
- Fax
- (605) 719-4203
- NPI assigned
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.16 of 100
- Quality
- 99.03
- Improvement activities
- 40
- Cost
- 78.09
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 |
|---|---|---|---|---|
| I20130109000792 | SD | Practitioner - Nurse Practitioner | 7012160609 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Network, Inc. | Current |
Accepting new patients | |
| Monument Health Network, Inc. | Current |
Accepting new patients | |
| Fall River Health Services | Current |
Accepting new patients | |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Rapid City Emergency Services PA | Nurse Practitioner | Current |
Accepting new patients |
| Fall River Health Services | Current |
Accepting new patients | |
| Monument Health Network, Inc. | Current |
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
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
Interoperability endpoints
- ajennings.8441@regionalhealth.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CP000743 | SD | Yes |
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
101 E Minnesota St
Suite 210
Rapid City, SD 57701-7756
Phone (605) 342-3280
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609129709 | Medicaid | CO | |
| P02096842 | Other | SD | RR MEDICARE |
| 1609129709 | Medicaid | ND | |
| 1609129709 | Other | SD | BCBS SD |
| 1609129709 | Medicaid | SD |
Other providers in Rapid City, SD
- Jeffrey Wiswall DDS Ms PC
- Jennifer J. Kozel, PHD, LCP, Inc.
- Jennifer Jackson, LPC, PLLC
- Jennifer L.H. Friedman, DDS, PC
- Becky Jo Jenniges
- Loma Marie Jennings
- Amy Jensen
- Ashley Jensen
- Daniel Jensen
- Debby Jensen
All providers in Rapid City, SD · Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2018. 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.