Jennifer Risse, CNP
Individual provider Active NPI Primary Care Nurse Practitioner · Martin, SD
NPI 1821582990 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1821582990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- CP001390 (SD)
- Practice address
- 102 Major Allen St
Martin, SD 57551-6005 - Phone
- (605) 685-1660
- Fax
- (605) 685-1166
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pine Ridge Indian Health Service Hospital
Practice addresses (Care Compare)
119 S 1St Ave
Martin, SD 57551-5835
Phone (605) 867-3313
East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032
P O Box
Suite 1201
Pine Ridge, SD 57770-1201
P O Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201
PO Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201
Hospital & facility affiliations
- Pine Ridge IHS Hospital
- Monument Health Rapid City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.82
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 84.44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190328001730 | SD | Practitioner - Nurse Practitioner | 4183964109 | Reassigns benefits to 1 organization |
| I20221102002353 | TX | Practitioner - Nurse Practitioner | 4183964109 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP001390 | SD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Bennett County Hospital and Nursing Home | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current |
Accepting new patients |
Locations
102 Major Allen St
Martin, SD 57551
Phone (605) 685-6622
119 S 1st Ave
Martin, SD 57551
Phone (605) 685-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | CP001390 | SD | Yes |
Addresses
Primary practice location
102 Major Allen St
Martin, SD 57551-6005
Mailing address
102 Major Allen
PO Box 70D
Martin, SD 57551-6305
Phone (605) 685-1660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP001390 | Other | SD | SD BON |
Other providers in Martin, SD
- Casi Jo McLeod
- Morning Star Family Ministries, Inc.
- Pine Ridge Indian Health Service Hospital
- Pine Ridge Indian Health Service Hospital
- RCPT/ Bennett County
- Jessica Scherer
- Tami Lynn Toczek
- Weber Medical Services PC
All providers in Martin, SD · Primary Care Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.