Active NPI
Alison Serck, CNP
- Adult Health Nurse Practitioner
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- CP001394
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Sanford Usd Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Midwest Medical Inc | Current | 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.
-
- Plastic Surgery Physician
- Sioux Falls, SD
- NPI 1457389199
IA, SD
-
- Surgery Physician
- Sioux Falls, SD
- NPI 1235796533
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.