NPIMap

Individual provider Active NPI

Jeanie Lembke

  • Family Medicine Physician
  • Rapid City, SD
National Provider Identifier
1922054279
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4601 Issued in SD
Practice address
717 Saint Francis St
Rapid City, SD 57701-4677
Phone
(605) 342-2880
Fax
(605) 388-4621
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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 4601 SD Primary

Addresses

Primary practice location

717 Saint Francis St
Rapid City, SD 57701-4677

Mailing address

PO Box 6020
Rapid City, SD 57709-6020
Phone (605) 342-3280

Other identifiers 3

IdentifierTypeStateIssuer
5610762MedicaidSD
080169992OtherSDRR MEDICARE
0008010OtherSDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100107000339 SD Practitioner - Family Practice 8325189715 Reassigns benefits to 3 organizations
I20230616003133 WY Practitioner - Family Practice 8325189715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis J Ptacek MD PLLCGroup PAC ID 1658725692, 10 clinicians

Practice addresses (Care Compare)

1620 N 7TH St
Rapid City, SD 57701-0511
Phone (317) 370-2013

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4601SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District Family Medicine CurrentSince Jun 5, 2023 Accepting new patients
Careconnectmd South Dakota PC CurrentSince May 7, 2025 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Jun 5, 2023 Accepting new patients
Travis J Ptacek MD PLLC CurrentSince Jan 28, 2024 Accepting new patients
Campbell County Hospital District Family Medicine Current Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1065 Montgomery St
Custer, SD 57730
Phone (605) 343-4958

2500 Arrowhead Dr
Rapid City, SD 57702
Phone (317) 370-2013

916 Mountain View Rd
Rapid City, SD 57702
Phone (605) 343-4958

1620 N 7th St
Rapid City, SD 57701
Phone (605) 343-4958

2000 Wesleyan Blvd
Rapid City, SD 57702
Phone (605) 343-3555

302 Saint Cloud St
Rapid City, SD 57701
Phone (605) 343-4738

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

1020 N 10th St
Spearfish, SD 57783
Phone (605) 642-2716

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1922054279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6020",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577096020",
            "telephone_number": "605-342-3280",
            "fax_number": "605-721-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SAINT FRANCIS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014677",
            "telephone_number": "605-342-2880",
            "fax_number": "605-388-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBKE",
        "first_name": "JEANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5610762",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080169992",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0008010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.