Individual provider Active NPI

Alison Serck, CNP

  • Adult Health Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1902391287
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CP001394 Issued in SD
Practice address
4201 S Minnesota Ave Ste 112
Sioux Falls, SD 57105-6706
Phone
(605) 335-3349
Fax
(605) 336-8436
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CP001394 SD Primary

Addresses

Primary practice location

4201 S Minnesota Ave Ste 112
Sioux Falls, SD 57105-6706

Mailing address

4201 S Minnesota Ave Ste 112
Sioux Falls, SD 57105-6706
Phone (605) 335-3349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 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

Enrollment IDStateProvider typePAC IDDetails
I20180814003601 SD Practitioner - Nurse Practitioner 2062760820 Reassigns benefits to 1 organization
I20190503001540 IA Practitioner - Nurse Practitioner 2062760820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Associates of South Dakota, LTDGroup PAC ID 0446289540, 4 clinicians

Practice addresses (Care Compare)

4201 S Minnesota Ave
Suite 112
Sioux Falls, SD 57105-6706
Phone (605) 335-3349

Hospital & facility affiliations

  • Sioux Falls Specialty Hospital Hospital, Sioux Falls, SD, CCN 430090
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Midwest Medical Inc CurrentSince Jan 4, 2020 Accepting new patients

Locations

4201 S Minnesota Ave
Ste 112
Sioux Falls, SD 57105
Phone (602) 232-9720

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1902391287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S MINNESOTA AVE STE 112",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056706",
            "telephone_number": "605-335-3349",
            "fax_number": "605-336-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S MINNESOTA AVE STE 112",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056706",
            "telephone_number": "605-335-3349",
            "fax_number": "605-336-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERCK",
        "first_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SD",
            "license": "CP001394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.