Individual provider Active NPI

Krista Bree Birkelo, DO

  • Emergency Medicine Physician
  • Spearfish, SD
National Provider Identifier
1649435165
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1359 Issued in SD
Practice address
1440 N Main St
Spearfish, SD 57783-1505
Phone
(605) 644-4004
Fax
(605) 644-4006
NPI assigned
Jul 24, 2008
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116020853 VA
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X MED-PHYS-LIC-91650 MT
Emergency Medicine Physician 207P00000X 1359 SD Primary

Addresses

Primary practice location

1440 N Main St
Spearfish, SD 57783-1505

Mailing address

353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Phone (605) 719-7109

Other practice location 1

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 329-5635

Other practice location 2

6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MT, WY, ID4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20111025000002 SD Practitioner - Emergency MedicinePractitioner - Family Practice 2163695842 Reassigns benefits to 2 organizations
I20210907002078 MT Practitioner - Emergency Medicine 2163695842 Reassigns benefits to 7 organizations
I20211220000860 WY Practitioner - Emergency Medicine 2163695842 Reassigns benefits to 6 organizations
I20251215003437 ID Practitioner - Emergency MedicinePractitioner - Family Practice 2163695842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMSC LLCGroup PAC ID 5890602494, 92 clinicians

Practice addresses (Care Compare)

3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000

400 S Clark St
Butte, MT 59701-2328
Phone (406) 495-7260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0531SDMDPhysician Assistant
0116020853VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Apr 15, 2023 Accepting new patients
Credena Health LLC CurrentSince Apr 15, 2023 Accepting new patients
Community Hospital CurrentSince Jun 17, 2023 Accepting new patients
Monument Health Network, Inc. CurrentSince Sep 1, 2011 Accepting new patients
Memorial Hospital Association CurrentSince Jun 1, 2021 Accepting new patients
Avera St. Luke's Current Accepting new patients
Providence Health & Services Mt CurrentSince Apr 15, 2023 Accepting new patients
Holy Rosary Healthcare CurrentSince Oct 1, 2025 Accepting new patients
Washakie Medical Center CurrentSince Jun 17, 2023 Accepting new patients
Memorial Hospital Association Current Accepting new patients
Washakie Medical Center CurrentSince Jun 17, 2023 Accepting new patients
Holy Rosary Healthcare CurrentSince Oct 1, 2025 Accepting new patients
Monument Health Network, Inc. Emergency Medicine CurrentSince Sep 1, 2011 Accepting new patients
Avera St. Lukes CurrentSince Oct 30, 2021 Accepting new patients
SCL Health Medical Group-Butte LLC Current Accepting new patients
Platte County Hospital CurrentSince May 12, 2023 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
CMSC, LLC CurrentSince May 8, 2024 Accepting new patients
Community Hospital CurrentSince Jun 17, 2023 Accepting new patients
Providence St Joseph Medical Center CurrentSince Apr 15, 2023 Accepting new patients
Providence St Joseph Medical Center CurrentSince Apr 15, 2023 Accepting new patients
Avera St Lukes CurrentSince Oct 30, 2021 Accepting new patients
Steele Memorial Medical Center CurrentSince Nov 3, 2025 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Oct 1, 2025 Accepting new patients
Memorial Hospital Association CurrentSince Jun 1, 2021 Accepting new patients
Steele Memorial Medical Center CurrentSince Nov 3, 2025 Accepting new patients
Holy Rosary Healthcare Past Accepting new patients

Locations

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: kbirkelo.7716@regionalhealth.sdhealthlink.net
  • Direct secure messaging: kbirkelo719468@direct.ochin.org

Organizations & group practices 28

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.

View all 28

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1649435165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN MEDICAL STAFF SERVICES",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016000",
            "telephone_number": "605-719-7109",
            "fax_number": "605-719-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N MAIN ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831505",
            "telephone_number": "605-644-4004",
            "fax_number": "605-644-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024008",
            "country_code": "US",
            "telephone_number": "406-329-5635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 13th Ave E",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605315",
            "country_code": "US",
            "telephone_number": "406-883-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRKELO",
        "first_name": "KRISTA",
        "middle_name": "BREE",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116020853",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-91650",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.