Active NPI
Janell Lynn Gerberding, PA
- Physician Assistant
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0528
- Practice address
- 640 Flormann St
Rapid City, SD 57701 - Phone
- (605) 718-3300
- Fax
- (605) 718-3426
- NPI assigned
- May 26, 2006
- Last updated
- Jan 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0528 | SD | Primary |
Addresses
Primary practice location
640 Flormann St
Rapid City, SD 57701
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00051537 | Other | SD | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0528 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current | Accepting new patients | |
| Regional Health Physicians Inc | Past | Accepting new patients | |
| Philip Clinic | Past | Accepting new patients | |
| Avera McKennan | Physician Assistant | Past | Accepting new patients |
Locations
61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000
1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900
216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440
1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000
Interoperability endpoints
- janell.gerberding@avera.sdhealthlink.net
Organizations & group practices 13
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.
-
dba Pine Ridge IHS Hospital
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Special Hospital
- Rapid City, SD
- NPI 1376896621
-
dba Oyate Health Center
- Pharmacy
- Rapid City, SD
- NPI 1376105452
TX
-
dba Monument Health Hot Springs Clinic
- Multi-Specialty Clinic/Center
- Hot Springs, SD
- NPI 1588185268
-
dba Avera St Marys Hospital ER CRNA
- Emergency Medicine Physician
- Pierre, SD
- NPI 1073305496
-
- Anesthesiology Physician
- Rapid City, SD
- NPI 1972630275
-
dba Monument Health Lead-Deadwood Clinic
- Multi-Specialty Clinic/Center
- Deadwood, SD
- NPI 1558740472
-
dba LaCreek District Clinic
- Clinic/Center
- Martin, SD
- NPI 1003208257
-
dba Hill City Regional Medical Clinic
- Multi-Specialty Clinic/Center
- Hill City, SD
- NPI 1063458263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1760438220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 FAIRMONT BLVD",
"address_2": "ATTEN MEDICAL STAFF SERVICES",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577016000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 FLORMANN ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-718-3300",
"fax_number": "605-718-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBERDING",
"first_name": "JANELL",
"middle_name": "LYNN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00051537",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.