Kenzie Suzette Gant, DNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP002187 Issued in SD

Practice address

111 Washington Ave NW
Wagner, SD 57380-4300

Phone

(605) 384-3621

NPI assigned

Aug 29, 2022

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wagner Indian Health Service Health CenterGroup PAC ID 6305758483, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wagner Community Memorial Hospital - Cah Hospital, Wagner, SD, CCN 431315

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wagner Indian Health Service Health Center

  • Clinic/Center
  • Wagner, SD
  • NPI 1326066796

  TX

  Medicare reassignment Care Compare group NPD

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

• Wagner Community Memorial Hospital

  • Critical Access Hospital
  • Wagner, SD
  • NPI 1326030974
  Care Compare affiliation
• Wagner Community Memorial Hospital

  • Family Medicine Physician
  • Wagner, SD
  • NPI 1740306992

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1750001970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MAIN AVE",
            "city": "GEDDES",
            "state": "SD",
            "postal_code": "573422206",
            "telephone_number": "605-212-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WASHINGTON AVE NW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573804300",
            "telephone_number": "605-384-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT",
        "first_name": "KENZIE",
        "middle_name": "SUZETTE",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002187",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SD",
            "license": "CP002187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ihs.gov",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "111 Washington Ave NW",
            "city": "Wagner",
            "state": "SD",
            "country_code": "US",
            "postal_code": "573804300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gretchen Marie Esplund, MD
• Joan Fillaus, RDH
• First Chiropractic Centers, PC (First Chiropractic Center)
• Jay Joseph Fitzgerald, D.C.
• Sandra Ellen Fortuna, BSW
• Patricia Ann Goulette, RN
• Hilary Lynn Haley, DDS
• Veronica Anne Handeland, MPH,RD
• Margo Jane Hoffman, R.D.L.N.
• Darius Honomichl, BA

• Family Nurse Practitioner in Wagner, SD
• Providers in Wagner, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.