| Mrs Genie Marie Ellis, FNP | |
|
3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | |
| (605) 355-2443 | |
| (650) 355-2403 |
| Full Name | Mrs Genie Marie Ellis |
|---|---|
| Gender | Female |
| 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 |
|---|---|---|---|
| 1649233677 | NPI | - | NPPES |
| 5549050 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0229CNP (South Dakota) | Primary |
| 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 |
|---|---|
| Mrs Genie Marie Ellis, FNP 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 355-2443 | Mrs Genie Marie Ellis, FNP 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 355-2443 |
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 | |
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 | |
Morgan Folchert, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 Centre St Ste 2, Rapid City, SD 57703 Phone: 308-249-2912 | |
Alana Marie Mastin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 677 Cathedral Dr, Rapid City, SD 57701 Phone: 605-755-4150 | |
Paulette A Kirby, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 Columbus St, Rapid City, SD 57701 Phone: 605-343-3007 |