Individual provider Active NPI

Jamie Lascelles

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1649678079
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002190 Issued in SD
Practice address
350 Pine St
Rapid City, SD 57701-1669
Phone
(605) 721-8939
NPI assigned
Dec 17, 2014
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 CP002190 SD Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

350 Pine St
Rapid City, SD 57701-1669

Mailing address

1722 Space CT
Rapid City, SD 57701-0557
Phone (605) 430-9901

Other practice location 1

2140 Junction Ave
Sturgis, SD 57785-2358
Phone (605) 720-2460

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
I20211130002994 SD Practitioner - Nurse Practitioner 6608266911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of the Black Hills IncGroup PAC ID 7618886334, 12 clinicians

Practice addresses (Care Compare)

350 Pine St
Rapid City, SD 57701-1669
Phone (605) 721-8939

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP002190SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of the Black Hills Inc CurrentSince Sep 22, 2025 Accepting new patients
Behavior Management Systems, Inc. Past Accepting new patients
Community Health Center of the Black Hills, Inc Past Accepting new patients

Locations

10 Van Buren St
Rapid City, SD 57701
Phone (605) 721-8939

217 Kansas City St
Ste 200
Rapid City, SD 57701
Phone (605) 721-8939

350 Pine St
Rapid City, SD 57701
Phone (605) 721-8939

Interoperability endpoints

  • Direct secure messaging: jamie.lascelles.1@32387.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1649678079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SPACE CT",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010557",
            "telephone_number": "605-430-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011669",
            "telephone_number": "605-721-8939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 Junction Ave",
            "address_purpose": "LOCATION",
            "city": "Sturgis",
            "state": "SD",
            "postal_code": "577852358",
            "country_code": "US",
            "telephone_number": "605-720-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASCELLES",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002190",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.