Individual provider Active NPI

Gina Marcelline Rekow, D.C.

  • Chiropractor
  • Aberdeen, SD
National Provider Identifier
1720370190
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1190 Issued in SD
Practice address
2211 8TH Ave NE Ste 2101
Aberdeen, SD 57401-3232
Phone
(605) 725-5545
Fax
(605) 725-5546
NPI assigned
May 4, 2011
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1190 SD Primary

Addresses

Primary practice location

2211 8TH Ave NE Ste 2101
Aberdeen, SD 57401-3232

Mailing address

2211 8TH Ave NE Ste 2101
Aberdeen, SD 57401-3232
Phone (605) 725-5545

Other names 1

  • Dr. Gina Marcelline Kraushar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000432 SD Practitioner - Chiropractic 9133306012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2211 8TH Ave NE
Suite 2101
Aberdeen, SD 57401-8827

411 S 2ND St
Suite 1
Aberdeen, SD 57401-4188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1720370190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 8TH AVE NE STE 2101",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013232",
            "telephone_number": "605-725-5545",
            "fax_number": "605-725-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 8TH AVE NE STE 2101",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013232",
            "telephone_number": "605-725-5545",
            "fax_number": "605-725-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKOW",
        "first_name": "GINA",
        "middle_name": "MARCELLINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "KRAUSHAR",
            "middle_name": "MARCELLINE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.