Renette Lynne Kroupa, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0155 Issued in SD

Practice address

Hwy 34/47
Fort Thompson, SD 57339

Phone

(605) 245-2285

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Physician Assistant

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Thompson Indian Health ServiceGroup PAC ID 9739080896, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340
• Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Fort Thompson Indian Health Service

  • Clinic/Center
  • Fort Thompson, SD
  • NPI 1710995907

  TX

  Medicare reassignment Care Compare group
• Avera McKennan

  • Family Medicine Physician
  • Chamberlain, SD
  • NPI 1134139215
  NPD (past)

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

• Avera Queen of Peace

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Care Compare affiliation
• Avera St Marys

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180
  Care Compare affiliation
• Avera St Marys

  • Multi-Specialty Clinic/Center
  • Pierre, SD
  • NPI 1720326713

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760493811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36980 239TH ST",
            "city": "WHITE LAKE",
            "state": "SD",
            "postal_code": "573835013",
            "telephone_number": "605-249-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 34/47",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "57339",
            "telephone_number": "605-245-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUPA",
        "first_name": "RENETTE",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Horizon Health Care Inc
• Dari Johnson, LAC, LPC, QMHP
• Mark Allen Karzon, LLMSW LCSW
• Katherine Estelle Kirkie, RN
• Donna J Kocer, RDH,BS
• Kathleen Joy Kundel, RT(R)(M)
• Marlene A Lacayo, DDS
• Xinyu Daniel Li, MD, PHD
• Bernard N Long, PT
• Lona Marie Longbrake, RN

• Medical Physician Assistant in Fort Thompson, SD
• Providers in Fort Thompson, SD by specialty
• Medical Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.