Individual provider Active NPI

Marissia Kae Schaefer, FNP

  • Family Nurse Practitioner
  • Brookings, SD
National Provider Identifier
1801551544
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002207 Issued in SD
Practice address
922 22ND Ave S
Brookings, SD 57006-2830
Phone
(605) 697-1900
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 CP002207 SD Primary

Addresses

Primary practice location

922 22ND Ave S
Brookings, SD 57006-2830

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 697-1900

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
I20211215001377 SD Practitioner - Nurse Practitioner 6709277320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

922 22ND Ave S
Brookings, SD 57006-2830
Phone (605) 697-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP002207SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Sanford Clinic CurrentSince Jun 19, 2022 Accepting new patients
Rural Health Care, Inc CurrentSince Nov 28, 2021 Accepting new patients
City of Brookings CurrentSince Nov 28, 2021 Accepting new patients
City of Brookings Current Accepting new patients
Rural Health Care, Inc CurrentSince Nov 28, 2021 Accepting new patients
Sanford Medical Center CurrentSince Jul 1, 2022 Accepting new patients
City of Brookings CurrentSince Nov 28, 2021 Accepting new patients
Sanford Clinic CurrentSince Jun 19, 2022 Accepting new patients
Sanford Clinic Current Accepting new patients

Locations

400 22nd Ave
Ste 1
Brookings, SD 57006
Phone (605) 697-9500

922 22nd Ave S
Brookings, SD 57006
Phone (605) 697-1900

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

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

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1801551544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-697-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062830",
            "telephone_number": "605-697-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "MARISSIA",
        "middle_name": "KAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.