Active NPI
Catherine Michelle McCulley, CNP
- Nurse Practitioner
- Sioux Falls, SD
National Provider Identifier
1881235471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CP001647
- Practice address
- 6709 S Minnesota Ave
Sioux Falls, SD 57108-2592 - Phone
- (605) 271-2700
- Fax
- (605) 271-2277
- NPI assigned
- Oct 4, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP001647 | SD | |
| Nurse Practitioner | 363L00000X | CP001647 | SD | Primary |
Addresses
Primary practice location
6709 S Minnesota Ave
Sioux Falls, SD 57108-2592
Mailing address
115 N Dakota Ave Apt 217
Sioux Falls, SD 57104-6425
Phone (605) 370-0993
Other names 1
- Miss Catherine Michelle Tibbetts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1234 E Hwy 7
Montevideo, MN 56265-1705
Phone (320) 269-6581
6709 S Minnesota Ave
Suite 205
Sioux Falls, SD 57108-2593
Phone (605) 271-2700
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 |
|---|---|---|---|
| CP001647 | SD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Marshall | Current | Accepting new patients | |
| Pulmonary and Sleep Consultants | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Past | Accepting new patients |
Locations
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
1234 E Highway 7
Montevideo, MN 56265
Phone (320) 269-6412
6709 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 271-2700
6709 S Minnesota Ave
Ste 205
Sioux Falls, SD 57108
Phone (605) 271-2700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CADCCA
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
- Optometrist
- Marshall, MN
- NPI 1487422465
-
- Multi-Specialty Clinic/Center
- Marshall, MN
- NPI 1962641936
Hospital & facility affiliations 27
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": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1881235471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N DAKOTA AVE APT 217",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571046425",
"telephone_number": "605-370-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6709 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082592",
"telephone_number": "605-271-2700",
"fax_number": "605-271-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLEY",
"first_name": "CATHERINE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP001647",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "CP001647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "TIBBETTS",
"middle_name": "MICHELLE",
"prefix": "MISS",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}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 Oct 14, 2019; 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.