Active NPI
Mary Stephanie Kirkpatrick, CNP
- Family Nurse Practitioner
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP001190
- Practice address
- 4520 W 69TH St
Sioux Falls, SD 57108-8148 - Phone
- (605) 977-5000
- Fax
- (605) 977-5377
- NPI assigned
- Feb 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R039772 | SD | |
| Family Nurse Practitioner | 363LF0000X | CP001190 | SD | Primary |
Addresses
Primary practice location
4520 W 69TH St
Sioux Falls, SD 57108-8148
Mailing address
4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000
Other practice location 1
7708 W Waterford St
Sioux Falls, SD 57106-9008
Phone (319) 329-6561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 E 10TH St
Suite 101
Spencer, IA 51301-4365
Phone (712) 264-3500
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9007
4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-7000
4520 W 69TH St
Sioux Falls, SD 57108-8148
916 4TH Ave SW
Pipestone, MN 56164-1890
Phone (507) 825-5811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R039772 | SD | MD | Registered Nurse |
| 8075 | MN | MD | Speech-Language Pathologist |
| CP001190 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Hospital of South Dakota LLC | Current | Accepting new patients | |
| Heart Hospital of South Dakota LLC | Current | Accepting new patients |
Locations
116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
4520 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-5000
4500 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-7000
Interoperability endpoints
- mary.kirkpatrick@avera.sdhealthlink.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Sioux Falls, SD
- NPI 1407109705
IA, MN
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1023003969
Hospital & facility affiliations 32
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1881133122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 W 69TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088148",
"telephone_number": "605-977-5000",
"fax_number": "605-977-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 W 69TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088148",
"telephone_number": "605-977-5000",
"fax_number": "605-977-5377"
}
],
"practiceLocations": [
{
"address_1": "7708 W Waterford St",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571069008",
"country_code": "US",
"telephone_number": "319-329-6561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "MARY",
"middle_name": "STEPHANIE",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "R039772",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP001190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.