NPIMap

Individual provider Active NPI

Julie A Krein, CNP

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1700858263
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000385 Issued in SD
Practice address
7236 Jordan Dr Ste 101
Rapid City, SD 57702-8740
Phone
(605) 341-5565
Fax
(605) 341-5595
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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 CP000385 SD Primary

Addresses

Primary practice location

7236 Jordan Dr Ste 101
Rapid City, SD 57702-8740

Mailing address

PO Box 6540
Rapid City, SD 57709-6540
Phone (605) 341-5565

Other identifiers 3

IdentifierTypeStateIssuer
312320OtherWYWY BCBS NUMBER
4995966OtherSDWELLMARK BCBS NUMBER
6825190MedicaidSD

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
I20100122000144 SD Practitioner - Nurse Practitioner 2567504004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Dermatology PCGroup PAC ID 5799767851, 4 clinicians

Practice addresses (Care Compare)

7236 Jordan Dr
Suite 101
Rapid City, SD 57702-8740
Phone (605) 341-5565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Dermatology PC CurrentSince Aug 26, 2003 Accepting new patients
Black Hills Dermatology PC CurrentSince Aug 26, 2003 Accepting new patients

Locations

7236 Jordan Dr
Ste 101
Rapid City, SD 57702
Phone (605) 341-5565

132 E Grant St
Spearfish, SD 57783
Phone (602) 722-2225

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60043
  • Direct secure messaging: jkrein@blackhillsderm.directbygreenway.com

Organizations & group practices 2

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1700858263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6540",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577096540",
            "telephone_number": "605-341-5565",
            "fax_number": "605-341-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 JORDAN DR STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028740",
            "telephone_number": "605-341-5565",
            "fax_number": "605-341-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIN",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY BCBS NUMBER",
            "identifier": "312320",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS NUMBER",
            "identifier": "4995966",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825190",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.