NPIMap

Individual provider Active NPI

Kimberly Oberloh

  • Psychiatric/Mental Health Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1699159186
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP000960 Issued in SD
Practice address
520 Kansas City St Ste 102
Rapid City, SD 57701-2766
Phone
(605) 716-3609
Fax
(605) 716-3707
NPI assigned
Jul 14, 2015
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000960 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP000960 SD Primary

Addresses

Primary practice location

520 Kansas City St Ste 102
Rapid City, SD 57701-2766

Mailing address

520 Kansas City St Ste 102
Rapid City, SD 57701-2766
Phone (605) 716-3609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813012603 SD Practitioner - Nurse Practitioner 9830404268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Mental Healthcare Professionals PLLCGroup PAC ID 0042678336, 6 clinicians

Practice addresses (Care Compare)

520 Kansas City St
Suite 102
Rapid City, SD 57701-2766
Phone (605) 716-3609

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000960SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manlove Psychiatric Group, P.C. CurrentSince May 1, 2021 Accepting new patients
Optimum Mental Healthcare Professionals, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Rapid City Medical Center, LLP Current Accepting new patients

Locations

101 E Minnesota St
Rapid City, SD 57701

101 E Minnesota St
Ste 210
Rapid City, SD 57701
Phone (605) 341-1122

2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121

2820 Mount Rushmore Rd
#0
Rapid City, SD 57701

520 Kansas City St
Ste 102
Rapid City, SD 57701
Phone (605) 716-3609

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

804 West Blvd
Rapid City, SD 57701
Phone (605) 348-2040

Interoperability endpoints

  • Direct secure messaging: kimberly.oberloh@rcmc.eclinicaldirectplus.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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1699159186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 KANSAS CITY ST STE 102",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012766",
            "telephone_number": "605-716-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 KANSAS CITY ST STE 102",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012766",
            "telephone_number": "605-716-3609",
            "fax_number": "605-716-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERLOH",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000960",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP000960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.