Individual provider Active NPI

Patrick Koistinen, CNP

  • Family Nurse Practitioner
  • Huron, SD
National Provider Identifier
1639854532
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002841 Issued in SD
Practice address
111 4TH St SE
Huron, SD 57350-2509
Phone
(605) 352-8691
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP002841 SD Primary

Addresses

Primary practice location

111 4TH St SE
Huron, SD 57350-2509

Mailing address

44467 194TH St
Lake Norden, SD 57248-5808
Phone (605) 868-0636

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929002916 SD Practitioner - Nurse Practitioner 7315391968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

1000 18TH St SW
Suite 27
Huron, SD 57350-3488
Phone (605) 554-1015

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Sep 30, 2024 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Huron Clinic Foundation LTD CurrentSince Aug 15, 2023 Accepting new patients
Horizon Health Care Inc Past Accepting new patients

Locations

1000 18th St SW
Ste 27
Huron, SD 57350
Phone (605) 554-1015

111 4th St SE
Huron, SD 57350
Phone (605) 352-8691

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Organizations & group practices 4

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 7

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1639854532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44467 194TH ST",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "572485808",
            "telephone_number": "605-868-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 4TH ST SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502509",
            "telephone_number": "605-352-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOISTINEN",
        "first_name": "PATRICK",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.