Active NPI
Simply Gorgeous, LLC
- Family Medicine Physician
- Watertown, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SIMPLY GORGEOUS, LLC
- Practice address
- 1028 29TH St SE
Watertown, SD 57201-9120 - Phone
- (605) 878-2888
- Fax
- (605) 878-0361
- NPI assigned
- Dec 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Jean Magstadt, APRN
- Title
- Owner
- Phone
- (605) 878-2888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1028 29TH St SE
Watertown, SD 57201-9120
Mailing address
1028 29TH St SE
Watertown, SD 57201-9120
Phone (605) 878-2888
Other names 1
- SG Essentials
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.sgessentialssd.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230331000661 | SD | Part B Supplier - Clinic/Group Practice | 8022483254 |
Receives reassigned benefits from 2 practitioners Practice locations: Watertown, SD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2267197 | SG Essentials | Provider-performed microscopy | Aug 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
1028 29th St SE
Watertown, SD 57201
Phone (605) 878-2888
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1750092151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 29TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572019120",
"telephone_number": "605-878-2888",
"fax_number": "605-878-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 29TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572019120",
"telephone_number": "605-878-2888",
"fax_number": "605-878-0361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY GORGEOUS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-07",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "MAGSTADT",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-878-2888",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.sgessentialssd.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1028 29th St SE",
"city": "Watertown",
"state": "SD",
"country_code": "US",
"postal_code": "572019120",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "SG Essentials",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SG Essentials",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.