| Mrs Kimberli Mae Hastings, CNP | |
|
125 Sd Hwy 246, Fort Thompson, SD 57339 | |
| (605) 245-2700 | |
| (866) 423-6811 |
| Full Name | Mrs Kimberli Mae Hastings |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 125 Sd Hwy 246, Fort Thompson, South Dakota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942850862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2477350 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CP001748 (South Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifemd South Central Patient Medical Care Pa | 0345779864 | 2 |
| Lifemd Midwest Patient Medical Care Pc | 3779929393 | 3 |
| Puopolo Md Pc | 0547605701 | 4 |
| Lifemd Atlantic Patient Medical Care Pc | 2163868217 | 4 |
| Lifemd South Central Patient Medical Care Pa | 0345779864 | 2 |
| Lifemd Southern Patient Medical Care Pc | 7618311820 | 4 |
| Puopolo Md Pc | 0547605701 | 4 |
| Lifemd Atlantic Patient Medical Care Pc | 2163868217 | 4 |
| Lifemd Midwest Patient Medical Care Pc | 3779929393 | 3 |
| Lifemd Midwest Patient Medical Care Pc | 3779929393 | 3 |
| Lifemd Midwest Patient Medical Care Pc | 3779929393 | 3 |
| Entity Name | Horizon Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356459382 PECOS PAC ID: 8921997933 Enrollment ID: O20040315000974 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1316942204 PECOS PAC ID: 9335050806 Enrollment ID: O20061104000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberli Mae Hastings, CNP Po Box 199, Mount Vernon, SD 57363-0199 Ph: (605) 999-0643 | Mrs Kimberli Mae Hastings, CNP 125 Sd Hwy 246, Fort Thompson, SD 57339 Ph: (605) 245-2700 |
Nicole Lynn Bamberg, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 200, Fort Thompson, SD 57339 Phone: 605-245-1546 Fax: 605-245-2600 | |
Ms. Patricia Jean Hamiel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1323 Bia Route 4, Fort Thompson, SD 57339 Phone: 605-245-1586 |