NPIMap

Individual provider Active NPI

Lisa Ann Scheppers, MD

  • Internal Medicine Physician
  • Rapid City, SD
National Provider Identifier
1871502443
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12966 Issued in SD
Practice address
216 Anamaria Dr
Rapid City, SD 57701-7366
Phone
(605) 721-4700
Fax
(605) 721-4775
NPI assigned
Aug 5, 2006
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21705 NE
Internal Medicine Physician 207R00000X 12966 SD Primary
Hospitalist Physician 208M00000X 21705 NE

Addresses

Primary practice location

216 Anamaria Dr
Rapid City, SD 57701-7366

Mailing address

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 721-4700

Other identifiers 1

IdentifierTypeStateIssuer
P00102097OtherNERR MEDICARE

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
I20220218000386 SD Practitioner - Internal Medicine 0547338238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians

Practice addresses (Care Compare)

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 721-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12966SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Surgical Hospital, LLC Hospitalist CurrentSince Nov 27, 2021 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Nov 21, 2021 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1871502443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ANAMARIA DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017366",
            "telephone_number": "605-721-4700",
            "fax_number": "605-721-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ANAMARIA DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017366",
            "telephone_number": "605-721-4700",
            "fax_number": "605-721-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEPPERS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "21705",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "12966",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NE",
            "license": "21705",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00102097",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.