Tri State Medical Center Pllc

ActiveOrganizationNurse Practitioner
NPI issued: September 13, 2023

Quick Facts

NPI Number
1073390944
TypeOrganization
StatusActive
SpecialtyNurse Practitioner
Taxonomy363L00000X — Nurse Practitioner
Phone
(605) 645-2064
StateSD

NPI Validation Status: Verified

Valid 10-digit NPI number (1073390944)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 13, 2023)
Data source: CMS NPPES

Provider Overview

TRI STATE MEDICAL CENTER PLLC is a Nurse Practitioner provider based in Belle Fourche, SD who has been registered with CMS since 2023. They are affiliated with Tri State Medical Center Pllc and Tri State Medical Center Pllc. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1073390944
Provider TypeOrganization
StatusActive
Enumeration DateSeptember 13, 2023

Practice Location

CityBelle Fourche
StateSD
ZIP Code57717-2340
Phone(605) 645-2064

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363L00000X
License StateSD

Mailing Address

CityBelle Fourche
StateSD
ZIP Code57717-2340
Phone(605) 645-2064
Same as practice location

Hospital & Organization Affiliations

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Tri State Medical Center Pllc

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Tri State Medical Center Pllc

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How to Use This NPI

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For Insurance Billing

Use NPI 1073390944 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1073390944for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1073390944 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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95,352
Nurse Practitioner Providers in the US

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Vanessa Kudlock, NP

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People Also Ask

What is Tri State Medical Center Pllc's NPI number?
Tri State Medical Center Pllc's NPI number is 1073390944, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Tri State Medical Center Pllc's NPI currently active?
Yes, Tri State Medical Center Pllc's NPI status is Active as of the latest CMS NPPES database updates.
What does Tri State Medical Center Pllc specialize in?
Tri State Medical Center Pllc specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363L00000X.
Where does Tri State Medical Center Pllc practice?
Tri State Medical Center Pllc practices in Belle Fourche, SD 57717-2340.
When was Tri State Medical Center Pllc's NPI issued?
Tri State Medical Center Pllc's NPI was issued on September 13, 2023.
What is Tri State Medical Center Pllc's provider type?
Tri State Medical Center Pllc is registered as an Organization under CMS NPI Type 2.