Individual provider Active NPI

Kathryn Jewett

  • Family Nurse Practitioner
  • Eagle Butte, SD
National Provider Identifier
1700390697
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP003537 Issued in SD
Practice address
24337 US Highway 212
Eagle Butte, SD 57625-7770
Phone
(605) 964-8000
NPI assigned
Nov 30, 2017
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 CP003537 SD Primary
Emergency Registered Nurse 163WE0003X R041425 SD

Addresses

Primary practice location

24337 US Highway 212
Eagle Butte, SD 57625-7770

Mailing address

24337 US Highway 212
Eagle Butte, SD 57625-7770

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
I20250408003220 SD Practitioner - Nurse Practitioner 4082138300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians
Avera St MarysGroup PAC ID 0143134965, 97 clinicians

Practice addresses (Care Compare)

602 1St St NE
Suite 1
Wessington Springs, SD 57382-2163
Phone (605) 539-1778

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-5901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP003537SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Mar 10, 2025 Accepting new patients
Avera St Marys CurrentSince Dec 10, 2025 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Horizon Health Care Inc CurrentSince Mar 10, 2025 Accepting new patients
Horizon Health Care Inc Past Accepting new patients
Horizon Health Care Inc PastSince Apr 17, 2022 Accepting new patients

Locations

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Organizations & group practices 7

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 2

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1700390697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24337 US HIGHWAY 212",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576257770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24337 US HIGHWAY 212",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576257770",
            "telephone_number": "605-964-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003537",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "SD",
            "license": "R041425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Butte, SD

Sources for this page

Verify at the official NPI Registry.