Individual provider Active NPI

Theresa E. Hammerquist, MSN, APRN, NP-C, CNP

  • Primary Care Nurse Practitioner
  • Martin, SD
National Provider Identifier
1982194049
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CP001376 Issued in SD
Practice address
109 Pugh St
Martin, SD 57551-7700
Phone
(605) 685-6868
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X CP001376 SD Primary

Addresses

Primary practice location

109 Pugh St
Martin, SD 57551-7700

Mailing address

11515 Nemo Rd
Rapid City, SD 57702-6182
Phone (605) 430-0304

Other names 1

  • Theresa E. Van Asma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180723003296 SD Practitioner - Nurse Practitioner 7618224551 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Jun 26, 2018 Accepting new patients
Avera St Marys CurrentSince Jul 16, 2024 Accepting new patients
Horizon Health Care Inc. CurrentSince Jun 26, 2018 Accepting new patients
Avera St Marys CurrentSince Jul 16, 2024 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Feb 24, 2020 Accepting new patients
Avera McKennan CurrentSince Feb 24, 2020 Accepting new patients
Horizon Health Care Inc Current Accepting new patients

Locations

911 E 20th St
Ste 509
Sioux Falls, SD 57105
Phone (605) 322-5800

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIHAD
  • Direct secure messaging: theresa.hammerquist@avera.sdhealthlink.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1982194049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 NEMO RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577026182",
            "telephone_number": "605-430-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PUGH ST",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575517700",
            "telephone_number": "605-685-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERQUIST",
        "first_name": "THERESA",
        "middle_name": "E.",
        "credential": "MSN, APRN, NP-C, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SD",
            "license": "CP001376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "VAN ASMA",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martin, SD

Sources for this page

Verify at the official NPI Registry.