Trista Marie Borgwardt, CNP
Individual provider Active NPI Nurse Practitioner · Rapid City, SD
NPI 1932744554 · NPPES record last updated Nov 7, 2019
Key facts
- NPI
- 1932744554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CP001678 (SD)
- Practice address
- 2805 5TH St
Rapid City, SD 57701-6003 - Phone
- (605) 755-5700
- NPI assigned
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 25
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Monument Health Rapid City Hospital Inc
Practice addresses (Care Compare)
2805 5TH St
Rapid City, SD 57701-6003
Phone (605) 755-5700
Hospital & facility affiliations
- Monument Health Rapid City Hospital
- Monument Health Spearfish Hospital
- Monument Health Sturgis Hospital
- Monument Health Lead-Deadwood Hospital
- Monument Health Custer Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200108000923 | SD | Practitioner - Nurse Practitioner | 3375978968 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP001678 | SD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Past | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
2805 5th St
Rapid City, SD 57701
Phone (605) 719-5650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CP001678 | SD | Yes |
Addresses
Primary practice location
2805 5TH St
Rapid City, SD 57701-6003
Mailing address
2805 5TH St
Rapid City, SD 57701-6003
Other providers in Rapid City, SD
- Jennifer Nicole Bonner
- Laura A Bonsness
- Barbra Ann Bordeaux
- Lori Ann Borella
- Mercedes Jo Borgen
- Paul A Bormes
- Jessica Boschee
- Kelsie Bossert
- Carrie Bossman
- Cindi Boswell
All providers in Rapid City, SD · Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.