| Kenzie Suzette Gant, DNP, FNP | |
|
111 Washington Ave Nw, Wagner, SD 57380-4300 | |
| (605) 384-3621 | |
| Not Available |
| Full Name | Kenzie Suzette Gant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 111 Washington Ave Nw, Wagner, 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 |
|---|---|---|---|
| 1750001970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | CP002187 (South Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CP002187 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wagner Community Memorial Hospital - Cah | Wagner, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wagner Indian Health Service Health Center | 6305758483 | 14 |
| Entity Name | Wagner Indian Health Service Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326066796 PECOS PAC ID: 6305758483 Enrollment ID: O20031105000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenzie Suzette Gant, DNP, FNP 610 Main Ave, Geddes, SD 57342-2206 Ph: (605) 212-8495 | Kenzie Suzette Gant, DNP, FNP 111 Washington Ave Nw, Wagner, SD 57380-4300 Ph: (605) 384-3621 |
Lindsey Nedved, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Carol Lee Stewart, DNP, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd Street Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Ashley Marie Ruhaak, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Jazmyn Soukup, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Jessica M Vanderham, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Brooke Lynn Plooster, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 Fax: 605-384-5240 | |
Ryan Kocer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 |