Rena J Robbennolt, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP000200 Issued in SD

Practice address

608 E Garfield Ave
Gettysburg, SD 57442-1325

Phone

(605) 765-2273

Fax

(605) 765-2273

NPI assigned

Jan 10, 2006

Last updated

Jun 29, 2012By 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 2

Addresses

Other identifiers 2

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera GettysburgGroup PAC ID 4284619362, shared by 3 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Missouri River Health Center Hospital, Gettysburg, SD, CCN 431302

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rena.robbennolt@avera.sdhealthlink.net

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Avera Gettysburg

  dba Avera Missouri River Health Center

  • Critical Access Hospital
  • Gettysburg, SD
  • NPI 1003887266

  Corporate Director

  CMS ownership
• Avera Gettysburg

  dba Avera Missouri River Health Center (Swingbed)

  • Medicare Defined Swing Bed Hospital Unit
  • Gettysburg, SD
  • NPI 1881754497

  Corporate Director

  CMS ownership
• Avera St Marys

  dba Avera Maryhouse Long Term Care

  • Skilled Nursing Facility
  • Pierre, SD
  • NPI 1063654648

  Managing Control - Governing Body

  CMS ownership
• Avera St Marys

  dba Avera St. Mary's Hospital

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180

  Corporate Director, Managing Control - Governing Body

  CMS ownership
• Avera St Marys

  dba Avera Pierre Clinic

  • Multi-Specialty Clinic/Center
  • Pierre, SD
  • NPI 1720326713

  Corporate Director

  CMS ownership

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.

• Avera Gettysburg

  dba Avera Missouri River Health Center

  • Critical Access Hospital
  • Gettysburg, SD
  • NPI 1003887266
  Medicare reassignment NPD
• Avera Gettysburg

  dba Avera Medical Group Gettysburg

  • Internal Medicine Physician
  • Gettysburg, SD
  • NPI 1366091357
  Medicare reassignment NPD
• Avera St Marys

  dba Avera St. Mary's Hospital

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180
  Medicare reassignment NPD
• Avera St Marys

  dba Avera St Marys Hospital ER CRNA

  • Emergency Medicine Physician
  • Pierre, SD
  • NPI 1073305496
  NPD
• Avera St Marys

  dba Avera Pierre Clinic

  • Multi-Specialty Clinic/Center
  • Pierre, SD
  • NPI 1720326713
  NPD
• Avera Gettysburg

  dba Avera Missouri River Health Center (Swingbed)

  • Medicare Defined Swing Bed Hospital Unit
  • Gettysburg, SD
  • NPI 1881754497
  NPD (past)
• Pediatric Hematology Clinic LTD

  • Pediatric Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1003956343
  NPD (past)
• Pediatric Hematology Oncology Pharmacy LTC

  • Pharmacy
  • Sioux Falls, SD
  • NPI 1952436099
  NPD (past)
• Avera McKennan

  dba Avera Medical Group Spencer

  • Family Medicine Physician
  • Spencer, IA
  • NPI 1902886567
  NPD (past)

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

• Avera Gettysburg

  dba Avera Missouri River Health Center

  • Critical Access Hospital
  • Gettysburg, SD
  • NPI 1003887266
  Care Compare affiliation

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1851370746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAC LANE",
            "address_2": "AVERA MEDICAL GROUP PIERRE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "57501",
            "telephone_number": "605-945-5201",
            "fax_number": "605-765-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E GARFIELD AVE",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421325",
            "telephone_number": "605-765-2273",
            "fax_number": "605-765-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBENNOLT",
        "first_name": "RENA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "0200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825682",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825683",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Eileen Kormendy
• Julie Kramer
• Diana Hristine Latinow, DDS
• Darci Leisenring, CNP
• Mid Dakota Podiatry
• Rural Health Care, Inc. (Community Care Clinic)
• Christine Marie Sawinsky, RPH
• Steven Buechler DDS PC (Buechler Dental Clinic)
• Jenny Lynn Trudo
• Fran J Vanbockel, LPC, RN

• Family Nurse Practitioner in Gettysburg, SD
• Providers in Gettysburg, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.