| Health Concepts | |
|
5410 Sheridan Lake Rd Rapid City SD 57702-9208 | |
| (605) 348-4141 | |
| (605) 342-7880 |
| Full Name | Health Concepts |
|---|---|
| Speciality | Internal Medicine |
| Location | 5410 Sheridan Lake Rd, Rapid City, South Dakota |
| Authorized Official Name and Position | Lisa K Kruse (BILLING MANAGER) |
| Authorized Official Contact | 6057215036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Concepts 5410 Sheridan Lake Rd Rapid City SD 57702-9208 Ph: (605) 348-4141 | Health Concepts 5410 Sheridan Lake Rd Rapid City SD 57702-9208 Ph: (605) 348-4141 |
| NPI Number | 1295962033 |
|---|---|
| Provider Enumeration Date | 06/19/2009 |
| Last Update Date | 05/16/2013 |
| Medicare PECOS PAC ID | 0648324418 |
|---|---|
| Medicare Enrollment ID | O20090812000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295962033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | 3782 (South Dakota) | Primary |
| 208600000X | Surgery | 4681 (South Dakota) | Secondary |
| Provider Name | Paulette S Nankivel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487626842 PECOS PAC ID: 0143128355 Enrollment ID: I20040205000913 |
| Provider Name | Richard L Beasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093785735 PECOS PAC ID: 3476442450 Enrollment ID: I20040401000944 |
| Provider Name | Kristen M Corkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487801445 PECOS PAC ID: 6709952369 Enrollment ID: I20080904000514 |
| Provider Name | Lynne J Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912941444 PECOS PAC ID: 0840315289 Enrollment ID: I20100909000053 |
| Provider Name | Kinsey A Shultz Piatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770598427 PECOS PAC ID: 9638178916 Enrollment ID: I20180503001747 |
| Provider Name | Denise D Carcamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588993315 PECOS PAC ID: 1254576390 Enrollment ID: I20210915003470 |
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