Individual provider Active NPI

Rebecca Krivarchka, C.N.P.

  • Primary Care Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1760835276
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CP001104 Issued in SD
Practice address
1205 S Grange Ave
Suite 104
Sioux Falls, SD 57105-0407
Phone
(605) 328-8500
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X CP001104 SD Primary

Addresses

Primary practice location

1205 S Grange Ave
Suite 104
Sioux Falls, SD 57105-0407

Mailing address

108 W Greenwood St
Brandon, SD 57005-2161
Phone (605) 431-7711

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20161110001460 SD Practitioner - Nurse Practitioner 6103105390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians

Practice addresses (Care Compare)

1211 S Grange Ave
Sioux Falls, SD 57105-0402
Phone (605) 328-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Sep 27, 2016 Accepting new patients
Sanford Clinic CurrentSince Sep 27, 2016 Accepting new patients
Sanford Medical Center CurrentSince Sep 27, 2016 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

1105 E Holly Blvd
Brandon, SD 57005
Phone (605) 582-5820

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1500 W 22nd St
Ste 101
Sioux Falls, SD 57105
Phone (605) 328-0000

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1760835276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W GREENWOOD ST",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052161",
            "telephone_number": "605-431-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S GRANGE AVE",
            "address_2": "SUITE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050407",
            "telephone_number": "605-328-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVARCHKA",
        "first_name": "REBECCA",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SD",
            "license": "CP001104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.