Jasmine Shanae Hypolite

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CP001525 Issued in SD

Practice address

100 Lake Traverse Dr
Sisseton, SD 57262

Phone

(605) 698-7606

Fax

(605) 742-0182

NPI assigned

Jan 23, 2018

Last updated

Nov 26, 2021By 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 5

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, CO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Forefront-Rush Medical Service PAGroup PAC ID 4486884285, 15 clinicians

State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasmine.hypolite.1@24287.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.

• Forefront-Rush Medical Service PA

  • Psychiatry Physician
  • Amarillo, TX
  • NPI 1083036651

  OK

  Medicare reassignment Care Compare group NPD
• State of Oklahoma

  dba Central Oklahoma Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norman, OK
  • NPI 1588755532
  Medicare reassignment Care Compare group NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  CO, Nurse Practitioner, OK

  Medicare reassignment NPD
• 1St Choice Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shawnee, OK
  • NPI 1497607717
  Medicare reassignment
• Progressing Forward Medical & Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Sisseton, SD
  • NPI 1669037099

  Adult Health

  NPD (past) Authorized official
• State of Oklahoma

  • Skilled Nursing Facility
  • Talihina, OK
  • NPI 1154589430
  NPD
• State of Oklahoma

  dba Jim Taliaferro CMHC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawton, OK
  • NPI 1619012515
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• State of Oklahoma

  dba Jim Taliaferro Community Mental Health Center

  • Psychiatric Hospital
  • Lawton, OK
  • NPI 1760481899
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1881102010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N AIR DEPOT BLVD APT 4102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731103765",
            "telephone_number": "405-204-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "57262",
            "telephone_number": "605-698-7606",
            "fax_number": "605-742-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYPOLITE",
        "first_name": "JASMINE",
        "middle_name": "SHANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "110500",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SD",
            "license": "CP001525",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP001525",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "110500",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "OK",
            "license": "110500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald G. Hill, LAC
• Penny M Hormann, APRN
• Kelli Kay Horton Anderson, PT, ATC
• Phylomine W Houle, RN
• Tracy Huntington, CRNA
• April Rose Jackson, PHARMD
• Brenda Ann Jackson
• John Weber DDS PLLC
• Michaela Johnson, PHARM.D
• Joann Kaplan, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Sisseton, SD
• Providers in Sisseton, SD by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.