| Carla Dale Krueger, FNP-C | |
|
113 Comanche Rd, Fort Meade, SD 57741-1002 | |
| (605) 347-2511 | |
| Not Available |
| Full Name | Carla Dale Krueger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 113 Comanche Rd, Fort Meade, South Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326214982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP000939 (South Dakota) | Primary |
| 163W00000X | Registered Nurse | R034054 (South Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Plains Tribal Chairmens Health Board | 0648609917 | 45 |
| Pine Ridge Indian Health Service Hospital | 4688571326 | 85 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
| Entity Name | Great Plains Tribal Chairmens Health Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376105452 PECOS PAC ID: 0648609917 Enrollment ID: O20200408001014 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Dale Krueger, FNP-C 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 347-2511 | Carla Dale Krueger, FNP-C 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 347-2511 |
Kristin Colhoff, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 | |
Sandra Limerick, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 Fax: 605-347-7204 | |
Desirae Lynn Lloyd, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 | |
Mrs. Roslyn Grace Robb, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 | |
Angela Gail Arseneau, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 602-720-7149 | |
Mrs. Dania Lynn Phelps, PSYCH NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 180-074-3107 Fax: 605-745-2806 | |
Margery L Wouden, FPNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 Fax: 605-720-7286 |