Ms Shirley Jo Roddy, CNP - Medicare Nurse Practitioner in Rapid City, SD

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Ms Shirley Jo Roddy, CNP is a medicare enrolled "Nurse Practitioner - Family" in Rapid City, South Dakota. Her current practice location is 2820 Mount Rushmore Rd, Rapid City, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 342-3280.

Ms Shirley Jo Roddy is licensed to practice in South Dakota (license number CP000220) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881778553.

Contact Information

Ms Shirley Jo Roddy, CNP
2820 Mount Rushmore Rd,
Rapid City, SD 57701-5462
(605) 342-3280
(605) 721-8458

Map and Direction




Provider's Profile

Full NameMs Shirley Jo Roddy
GenderFemale
SpecialityNurse Practitioner - Family
Location2820 Mount Rushmore Rd, Rapid City, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881778553
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 08/06/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9931254430
  • Enrollment ID: I20211202000382

Medical Identifiers

Medical identifiers for Ms Shirley Jo Roddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881778553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CP000220 (South Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Shirley Jo Roddy allows following entities to bill medicare on her behalf.
Entity NameNew West Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427010859
PECOS PAC ID: 9537054614
Enrollment ID: O20040218000087
Entity NameOptumcare Colorado Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407252828
PECOS PAC ID: 2769706431
Enrollment ID: O20150129000413
Entity NameAlpine Medical Group Colorado Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104501873
PECOS PAC ID: 1759743347
Enrollment ID: O20230814002966

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shirley Jo Roddy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Shirley Jo Roddy, CNP
Po Box 6020,
Rapid City, SD 57709-6020

Ph: (605) 342-3280		Ms Shirley Jo Roddy, CNP
2820 Mount Rushmore Rd,
Rapid City, SD 57701-5462

Ph: (605) 342-3280

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.