NPIMap

Individual provider Active NPI

Jon Mathias Wingert, MD

  • Family Medicine Physician
  • Rapid City, SD
National Provider Identifier
1891724407
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4903 Issued in SD
Practice address
2822 Jackson Blvd
Suite 101
Rapid City, SD 57702-3497
Phone
(605) 341-1208
Fax
(605) 341-3552
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4903 SD Primary

Addresses

Primary practice location

2822 Jackson Blvd
Suite 101
Rapid City, SD 57702-3497

Mailing address

2822 Jackson Blvd
Suite 101
Rapid City, SD 57702-3497
Phone (605) 341-1208

Other identifiers 1

IdentifierTypeStateIssuer
5350060MedicaidSD

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
I20050714000397 SD Practitioner - Family Practice 0941236574 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians
Creekside Medical Clinic Prof LLCGroup PAC ID 2062693799, 6 clinicians

Practice addresses (Care Compare)

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 791-7777

2822 Jackson Blvd
Suite 101
Rapid City, SD 57702-3497
Phone (605) 341-1208

502 E Monroe St
Rapid City, SD 57701-1400
Phone (605) 755-4060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4903SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc CurrentSince Dec 9, 2014 Accepting new patients
Black Hills Orthopedic & Spine Center, Inc. CurrentSince Aug 29, 2025 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Dec 9, 2014 Accepting new patients
Creekside Medical Clinic, Prof. LLC Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Medical Associates of the Black Hillc, LLC. Past Accepting new patients

Locations

2822 Jackson Blvd
Ste 101
Rapid City, SD 57702
Phone (605) 341-1208

502 E Monroe St
Rapid City, SD 57701
Phone (605) 719-4060

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140

7220 Mount Rushmore Rd
Rapid City, SD 57702
Phone (605) 737-9144

640 Flormann St
Ste 100
Rapid City, SD 57701
Phone (605) 718-3100

2620 Jackson Blvd
Ste C
Rapid City, SD 57702
Phone (605) 341-1208

640 Flormann St
Ste 300
Rapid City, SD 57701
Phone (605) 718-3300

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71180

Organizations & group practices 6

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1891724407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 JACKSON BLVD",
            "address_2": "SUITE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023497",
            "telephone_number": "605-341-1208",
            "fax_number": "605-341-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 JACKSON BLVD",
            "address_2": "SUITE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023497",
            "telephone_number": "605-341-1208",
            "fax_number": "605-341-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGERT",
        "first_name": "JON",
        "middle_name": "MATHIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350060",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.