Individual provider Active NPI

Kimberli Mae Hastings, CNP

  • Family Nurse Practitioner
  • Tea, SD
National Provider Identifier
1942850862
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001748 Issued in SD
Practice address
2520 N Devon Ave
Tea, SD 57064-2405
Phone
(509) 240-5490
NPI assigned
Sep 12, 2019
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001748 SD Primary
Registered Nurse 163W00000X 2477350 MN

Addresses

Primary practice location

2520 N Devon Ave
Tea, SD 57064-2405

Mailing address

2520 N Devon Ave
Tea, SD 57064-2405
Phone (509) 240-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD, TN, VT, CT, FL, CO, AL, VA, TX, GA, WA, NC, KS, MI, NV, IL17 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 17

Enrollment IDStateProvider typePAC IDDetails
I20191112003653 MN Practitioner - Nurse Practitioner 0042642027 Reassigns benefits to 1 organization
I20200528001930 SD Practitioner - Nurse Practitioner 0042642027 Reassigns benefits to 5 organizations
I20230627002726 TN Practitioner - Nurse Practitioner 0042642027
I20230717001265 VT Practitioner - Nurse Practitioner 0042642027 Reassigns benefits to 1 organization
I20230717001731 CT Practitioner - Nurse Practitioner 0042642027
I20230725001166 FL Practitioner - Nurse Practitioner 0042642027
I20230726000561 CO Practitioner - Nurse Practitioner 0042642027
I20230727000464 AL Practitioner - Nurse Practitioner 0042642027
I20230728002526 VA Practitioner - Nurse Practitioner 0042642027
I20231016002955 TX Practitioner - Nurse Practitioner 0042642027
I20240816003475 GA Practitioner - Nurse Practitioner 0042642027
I20240912001583 WA Practitioner - Nurse Practitioner 0042642027 Reassigns benefits to 1 organization
I20241024004654 NC Practitioner - Nurse Practitioner 0042642027
I20250210000500 KS Practitioner - Nurse Practitioner 0042642027
I20250210000707 MI Practitioner - Nurse Practitioner 0042642027
I20250218003222 NV Practitioner - Nurse Practitioner 0042642027
I20250306001913 IL Practitioner - Nurse Practitioner 0042642027

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Puopolo MD PCGroup PAC ID 0547605701, 3 clinicians

Practice addresses (Care Compare)

506 2ND Ave
Suite 1400
Seattle, WA 98104-2329
Phone (800) 735-2176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2477350MNMDRegistered Nurse
6944MNMDPhysical Therapist
CP001748SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince May 18, 2020 Accepting new patients
Lifemd Kansas Patient Medical Care PA CurrentSince Dec 5, 2024 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Sanford Health Network Current Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Lifemd New England Patient Medical Care PA CurrentSince Jul 3, 2025 Accepting new patients
Lifemd Southern Patient Medical Care PC CurrentSince Jan 12, 2024 Accepting new patients
Horizon Health Care Inc CurrentSince May 18, 2020 Accepting new patients
New York Patient Medical Care PC CurrentSince Jul 7, 2025 Accepting new patients
Lifemd South Central Patient Medical Care PA CurrentSince Jan 1, 2025 Accepting new patients
Openloop Healthcare Partners Colorado, PC CurrentSince Jun 12, 2023 Accepting new patients
Horizon Health Care Inc PastSince May 18, 2020 Accepting new patients
Lifemd Inc PastSince Jan 12, 2024 Accepting new patients

Locations

3800 N Central Ave
Ste 460
Phoenix, AZ 85012
Phone (469) 466-7006

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

3455 Peachtree Rd NE
Atlanta, GA 30326
Phone (800) 324-8586

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

875 N Michigan Ave
Fl 31
Chicago, IL 60611
Phone (312) 794-7730

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

7300 W 110th St
Ste 700
Overland Park, KS 66210
Phone (913) 317-1672

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148

236 5th Ave
Fl 4
New York, NY 10001
Phone (212) 686-0587

236 5th Ave
Ste 400
New York, NY 10001
Phone (866) 351-5907

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

506 2nd Ave
Ste 1400
Seattle, WA 98104
Phone (206) 486-8077

Interoperability endpoints

  • Direct secure messaging: kimberli.hastings@337577483108356.direct.elationemr.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1942850862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 N DEVON AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642405",
            "telephone_number": "509-240-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N DEVON AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642405",
            "telephone_number": "509-240-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "KIMBERLI",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001748",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2477350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tea, SD

Sources for this page

Verify at the official NPI Registry.