Active NPI
Michelle Kutzke, MSN, WHNP-BC
- Obstetrics & Gynecology Nurse Practitioner
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- CP000881
- Practice address
- 1305 W 18TH St
Sioux Falls, SD 57105-0401 - Phone
- (605) 328-3000
- NPI assigned
- Feb 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | CP000881 | SD | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | CP000881 | SD | Primary |
| Family Nurse Practitioner | 363LF0000X | 3893 | MN |
Addresses
Primary practice location
1305 W 18TH St
Sioux Falls, SD 57105-0401
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkutzke7633@direct.sanfordhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170113002429 | SD | Practitioner - Nurse Practitioner | 3779865373 | Reassigns benefits to 3 organizations |
| I20171106000393 | MN | Practitioner - Nurse Practitioner | 3779865373 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
5019 S Western Ave
Suite 200
Sioux Falls, SD 57108-5155
Phone (605) 328-9700
Hospital & facility affiliations
- Sanford Usd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 78.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Medical Center | Current | Accepting new patients | |
| Sanford Medical Center | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients |
Locations
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100
1680 Diagonal Rd
Worthington, MN 56187
Phone (507) 372-3800
400 N Hiawatha Dr
Canton, SD 57013
Phone (605) 764-1500
300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
Interoperability endpoints
- michelle.kutzke.1@29650.direct.athenahealth.com
Organizations & group practices 22
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.
-
- Rural Health Clinic/Center
- Estelline, SD
- NPI 1548230683
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chamberlain, SD
- NPI 1356361703
-
- Rural Health Clinic/Center
- Lake Norden, SD
- NPI 1417927559
-
- Rural Health Clinic/Center
- Lennox, SD
- NPI 1518284264
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Madison, SD
- NPI 1538181326
-
- Rural Health Clinic/Center
- Clark, SD
- NPI 1699755413
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1821017880
-
- Clinical Medical Laboratory
- Sioux Falls, SD
- NPI 1841242542
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1972995371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W 18TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050401",
"telephone_number": "605-328-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTZKE",
"first_name": "MICHELLE",
"credential": "MSN, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2023-09-28",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SD",
"license": "CP000881",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "SD",
"license": "CP000881",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "3893",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkutzke7633@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "300 S Byron Blvd",
"city": "Chamberlain",
"state": "SD",
"country_code": "US",
"postal_code": "573259741",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.