| Jennifer Risse, CNP | |
|
102 Major Allen St, Martin, SD 57551-6005 | |
| (605) 685-1660 | |
| (605) 685-1166 |
| Full Name | Jennifer Risse |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 102 Major Allen St, Martin, 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 |
|---|---|---|---|
| 1821582990 | NPI | - | NPPES |
| CP001390 | Other | SD | SD BON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | CP001390 (South Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Risse, CNP 102 Major Allen, Po Box 70d, Martin, SD 57551-6305 Ph: (605) 685-1660 | Jennifer Risse, CNP 102 Major Allen St, Martin, SD 57551-6005 Ph: (605) 685-1660 |
Ms. Cynthia Elaine Boltz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Pugh St, Martin, SD 57551 Phone: 605-685-6868 Fax: 866-423-6811 | |
Lindsey Heath, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 550, Martin, SD 57551 Phone: 605-685-6868 Fax: 866-423-6811 | |
Theresa E. Hammerquist, MSN, APRN, NP-C, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Pugh St, Martin, SD 57551 Phone: 605-685-6868 |