Individual provider Active NPI

Carrie Kocer, CNP

  • Family Nurse Practitioner
  • Mission, SD
National Provider Identifier
1780407270
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP003435 Issued in SD
Practice address
161 South Main Street
Mission, SD 57555
Phone
(605) 856-2295
NPI assigned
Nov 4, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP003435 SD Primary

Addresses

Primary practice location

161 South Main Street
Mission, SD 57555

Mailing address

161 S Main St
Mission, SD 57555
Phone (605) 856-2295

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
I20241126001671 SD Practitioner - Nurse Practitioner 8820523988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

161 S Main
Mission, SD 57555
Phone (605) 856-2295

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Nov 18, 2024 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Horizon Health Care Inc CurrentSince Nov 18, 2024 Accepting new patients
Horizon Health Care Inc Past Accepting new patients
Horizon Health Care Inc PastSince Apr 17, 2022 Accepting new patients
Horizon Health Care, Inc Past Accepting new patients

Locations

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

301 4TH St
Mellette Cnty Comm
White River, SD 57579
Phone (605) 259-3121

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1780407270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 S MAIN ST",
            "city": "MISSION",
            "state": "SD",
            "postal_code": "57555",
            "telephone_number": "605-856-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SOUTH MAIN STREET",
            "city": "MISSION",
            "state": "SD",
            "postal_code": "57555",
            "telephone_number": "605-856-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCER",
        "first_name": "CARRIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, SD

Sources for this page

Verify at the official NPI Registry.