Individual provider Active NPI

Kathryn Ann Hettinger, CFNP

  • Family Nurse Practitioner
  • Pierre, SD
National Provider Identifier
1689690919
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0349 Issued in SD
Practice address
1714 Abbey Rd
Pierre, SD 57501-7805
Phone
(605) 224-8841
Fax
(605) 224-6852
NPI assigned
Jul 13, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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 0349 SD Primary

Addresses

Primary practice location

1714 Abbey Rd
Pierre, SD 57501-7805

Mailing address

1714 Abbey Rd
Pierre, SD 57501-7805
Phone (605) 224-8841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050615000347 TX Practitioner - Nurse Practitioner 7810931367 Reassigns benefits to 3 organizations
I20080220000057 SD Practitioner - Nurse Practitioner 7810931367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

200 Commercial Ave SE
Highmore, SD 57345-2148
Phone (605) 852-2238

202 Island Dr
Fort Pierre, SD 57532-7303
Phone (605) 223-2200

303 S Main St
Onida, SD 57564-2160
Phone (605) 258-2635

609 Garfield Ave
Murdo, SD 57559-4100
Phone (605) 669-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0349SDMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Tribal Chairmen's Health Board CurrentSince Mar 1, 2020 Accepting new patients
Fort Yates Indian Health Service Hospital CurrentSince Oct 10, 2017 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Rural Health Care, Inc CurrentSince Feb 1, 2025 Accepting new patients
Rural Health Care, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Hoven Medical Clinic Inc. Past Accepting new patients
Sanford Clinic Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients

Locations

115 4th Ave SE
Ste 309
Aberdeen, SD 57401
Phone (605) 226-7341

202 Island Dr
Ste 1
Fort Pierre, SD 57532
Phone (605) 222-0661

200 Commercial Ave SE
Highmore, SD 57345
Phone (605) 852-2238

116 N Main Ave
Presho, SD 57568
Phone (605) 842-7188

3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282

3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500

Interoperability endpoints

  • Direct secure messaging: hettinger.kathryn.005.0010007@pchc.meditab.direct-ci.com

Organizations & group practices 9

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 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1689690919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 ABBEY RD",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575017805",
            "telephone_number": "605-224-8841",
            "fax_number": "605-224-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 ABBEY RD",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575017805",
            "telephone_number": "605-224-8841",
            "fax_number": "605-224-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTINGER",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "0349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

Verify at the official NPI Registry.