| Kyle David Larson, FNP | |
|
3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | |
| (605) 355-2500 | |
| (605) 355-2517 |
| Full Name | Kyle David Larson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 3200 Canyon Lake Dr, Rapid City, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710510821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 156657 (Alaska) | Primary |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Entity Name | Black Hills Mobile Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538941794 PECOS PAC ID: 4789121260 Enrollment ID: O20240801002281 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle David Larson, FNP 412 E 11th Ave, Anchorage, AK 99501-4507 Ph: (605) 770-8320 | Kyle David Larson, FNP 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 355-2500 |
Maria Sargent, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 |
Kayla Sayer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-755-3300 |
Nicole Paulette Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 636 Saint Anne St, Rapid City, SD 57701 Phone: 605-348-8000 Fax: 952-431-5334 |
Jennifer Ann Erdman, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 636 Saint Anne St, Rapid City, SD 57701 Phone: 605-348-8000 Fax: 605-348-4315 |
Jessica Buckley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Pine St, Rapid City, SD 57701 Phone: 605-721-8939 Fax: 605-721-8998 |
Morgan Folchert, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1760 Centre St Ste 2, Rapid City, SD 57703 Phone: 308-249-2912 |
Alana Marie Mastin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 677 Cathedral Dr, Rapid City, SD 57701 Phone: 605-755-4150 |