NPIMap

Individual provider Active NPI

Jenny Ruckdaschel, CNP

  • Family Nurse Practitioner
  • Flandreau, SD
National Provider Identifier
1932896891
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002765 Issued in SD
Practice address
212 N Prairie St
Flandreau, SD 57028-1243
Phone
(605) 997-5490
Fax
(605) 997-2418
NPI assigned
Apr 20, 2023
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP002765 SD Primary

Addresses

Primary practice location

212 N Prairie St
Flandreau, SD 57028-1243

Mailing address

317 E 2ND Ave
Lennox, SD 57039-2129
Phone (605) 214-2128

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
I20230608002240 SD Practitioner - Nurse Practitioner 6002273927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

203 N Elk St
Elkton, SD 57026-2103
Phone (605) 542-7701

212 N Prairie St
Flandreau, SD 57028-1243

214 N Prairie St
Flandreau, SD 57028-1243
Phone (605) 997-2433

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince May 15, 2023 Accepting new patients
Avera McKennan CurrentSince Sep 10, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince May 15, 2023 Accepting new patients
Avera McKennan Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jenny.ruckdaschel@avera.sdhealthlink.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1932896891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E 2ND AVE",
            "city": "LENNOX",
            "state": "SD",
            "postal_code": "570392129",
            "telephone_number": "605-214-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N PRAIRIE ST",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281243",
            "telephone_number": "605-997-5490",
            "fax_number": "605-997-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKDASCHEL",
        "first_name": "JENNY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flandreau, SD

Sources for this page

Verify at the official NPI Registry.