Individual provider Active NPI

Jonathan Paul Nebelsick, OD

  • Optometrist
  • Hot Springs, SD
National Provider Identifier
1659926160
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
759 Issued in SD
Practice address
200 S Chicago St
Hot Springs, SD 57747-2322
Phone
(605) 745-3175
Fax
(605) 549-8170
NPI assigned
Aug 2, 2019
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-980 HI
Optometrist 152W00000X 759 SD Primary

Addresses

Primary practice location

200 S Chicago St
Hot Springs, SD 57747-2322

Mailing address

200 S Chicago St
Hot Springs, SD 57747-2322
Phone (605) 999-0152

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021003620 SD Practitioner - Optometry 2860724010 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilkinson Vision IncGroup PAC ID 7416948898, 2 clinicians

Practice addresses (Care Compare)

200 S Chicago St
Hot Springs, SD 57747-2322
Phone (605) 745-3175

240 Minnesota St
Rapid City, SD 57701-6200
Phone (605) 719-9499

409 Kansas City St
Rapid City, SD 57701-3636
Phone (605) 348-2323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD-980HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilkinson Vision, Inc Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Nebelsick Optometric PLLC Optometrist CurrentSince Sep 8, 2024 Accepting new patients
Pillen Optical Inc Current Accepting new patients
Slingsby & Huot Eye Associates Prof CurrentSince Nov 28, 2025 Accepting new patients
Slingsby & Huot Eye Associates Prof Optometrist CurrentSince Nov 28, 2025 Accepting new patients

Locations

200 S Chicago St
Hot Springs, SD 57747
Phone (605) 745-3175

240 Minnesota St
Rapid City, SD 57701
Phone (605) 718-5123

409 Kansas City St
Rapid City, SD 57701
Phone (605) 348-2323

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1659926160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S CHICAGO ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472322",
            "telephone_number": "605-999-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CHICAGO ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472322",
            "telephone_number": "605-745-3175",
            "fax_number": "605-549-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBELSICK",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-980",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, SD

Sources for this page

Verify at the official NPI Registry.