Active NPI
Betty Ann Hulse, PAC
- Psychiatric Hospital
- Yankton, SD
National Provider Identifier
1972645992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 0218
- Practice address
- 3515 Broadway Ave.
Yankton, SD 57078-7600 - Phone
- (605) 668-3100
- Fax
- (605) 668-3460
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 0218 | SD | Primary |
Addresses
Primary practice location
3515 Broadway Ave.
Yankton, SD 57078-7600
Mailing address
422 Prentis Ave
Vermillion, SD 57069-2516
Phone (605) 624-0217
Other names 1
- Ms. Betty Ann Schempp Hulse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0642 | SD | MD | Physical Therapist |
| 0218 | SD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of South Dakota | Psychiatric Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- Yankton, SD
- NPI 1124027586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1972645992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 PRENTIS AVE",
"city": "VERMILLION",
"state": "SD",
"postal_code": "570692516",
"telephone_number": "605-624-0217",
"fax_number": "605-668-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 BROADWAY AVE.",
"city": "YANKTON",
"state": "SD",
"postal_code": "570787600",
"telephone_number": "605-668-3100",
"fax_number": "605-668-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSE",
"first_name": "BETTY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "SD",
"license": "0218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETTY",
"last_name": "SCHEMPP HULSE",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.