Individual provider Active NPI

Angela M Ratzsch, CNP

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1689028763
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001069 Issued in SD
Practice address
636 St. Anne St.
Rapid City, SD 57701
Phone
(605) 348-8000
Fax
(605) 348-4315
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CP001069 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP001069 SD
Family Nurse Practitioner 363LF0000X CP001069 SD Primary

Addresses

Primary practice location

636 St. Anne St.
Rapid City, SD 57701

Mailing address

4301 Shaker Dr
Rapid City, SD 57701-2343
Phone (307) 267-5954

Other practice location 1

3312 Jackson Blvd
Rapid City, SD 57702-3346
Phone (605) 646-7158

Other names 1

  • Angela M Christopherson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001069SDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Manlove Psychiatric Group, P.C. CurrentSince Jul 15, 2019 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jan 10, 2017 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jan 10, 2017 Accepting new patients

Locations

636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000

636 Saint Anne St
Ste 100
Rapid City, SD 57701
Phone (605) 348-8000

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1689028763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 SHAKER DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012343",
            "telephone_number": "307-267-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 ST. ANNE ST.",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-348-8000",
            "fax_number": "605-348-4315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577023346",
            "country_code": "US",
            "telephone_number": "605-646-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATZSCH",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SD",
            "license": "CP001069",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP001069",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CHRISTOPHERSON",
            "middle_name": "M",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.