NPIMap

Individual provider Active NPI

Karen Joan Runge, CNP

  • Family Nurse Practitioner
  • Miller, SD
National Provider Identifier
1821372764
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000670 Issued in SD
Practice address
300 W 5TH St
Miller, SD 57362-1238
Phone
(605) 853-0158
Fax
(605) 853-3885
NPI assigned
Oct 10, 2011
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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 CP000670 SD Primary

Addresses

Primary practice location

300 W 5TH St
Miller, SD 57362-1238

Mailing address

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

Other identifiers 1

IdentifierTypeStateIssuer
6836400MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000953 SD Practitioner - Nurse Practitioner 3779758859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Aug 6, 2012 Accepting new patients
Avera McKennan CurrentSince Aug 6, 2012 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Nov 1, 2025 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

1417 S Cliff Ave
Ste 501
Sioux Falls, SD 57105
Phone (605) 322-8630

Interoperability endpoints

  • Direct secure messaging: karen.runge@avera.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1821372764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 5TH ST",
            "city": "MILLER",
            "state": "SD",
            "postal_code": "573621238",
            "telephone_number": "605-853-0158",
            "fax_number": "605-853-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 5TH ST",
            "city": "MILLER",
            "state": "SD",
            "postal_code": "573621238",
            "telephone_number": "605-853-0158",
            "fax_number": "605-853-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "KAREN",
        "middle_name": "JOAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6836400",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller, SD

Sources for this page

Verify at the official NPI Registry.