Revel Sandrel Degen, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CP001721 Issued in SD

Practice address

117 S Spring St
Luverne, MN 56156-1916

Phone

(507) 283-9511

NPI assigned

Feb 6, 2020

Last updated

Dec 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Counseling Institute IncGroup PAC ID 3375433964, 5 clinicians

Community Counseling ServiceGroup PAC ID 9133111875, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: revel.degen.1@31592.direct.athenahealth.com

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.

• Dakota Counseling Institute, Inc.

  • Mental Health Counselor
  • Mitchell, SD
  • NPI 1760542278
  Medicare reassignment Care Compare group NPD
• Community Counseling Service

  • Mental Health Counselor
  • Huron, SD
  • NPI 1932167277
  Medicare reassignment Care Compare group
• Concordia Mind Health Inc

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1265977243
  NPD (past)

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1841822004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W HAVENS AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013831",
            "telephone_number": "605-996-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S SPRING ST",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561916",
            "telephone_number": "507-283-9511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 W Havens Ave",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573013831",
            "country_code": "US",
            "telephone_number": "605-996-9686",
            "fax_number": "605-996-1624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGEN",
        "first_name": "REVEL",
        "middle_name": "SANDREL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF NURSING",
            "identifier": "7311",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephan L Chesley, M.D.
• Jobi John Colwell, PT
• Joshua J Crabtree, M.D.
• Kathryn Dahl, MD
• Dawson and Company LTD
• Emilly Ann Eben, PHARM.D.
• Mary Gehrke, LMFT
• Trisha Goembel, CNP
• Larry Green, LP
• Tia Rae Hadler

• Nurse Practitioner in Luverne, MN
• Providers in Luverne, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.