Pine Ridge Indian Health Service Hospital - Medicare Primary Care in Wanblee, SD

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Pine Ridge Indian Health Service Hospital is a medicare enrolled primary clinic (Clinic/center) in Wanblee, South Dakota. The current practice location for Pine Ridge Indian Health Service Hospital is 210 1st St, Wanblee, South Dakota. For appointments, you can reach them via phone at (605) 462-6155. The mailing address for Pine Ridge Indian Health Service Hospital is Po Box 290, 210 1st St, Wanblee, South Dakota and phone number is (605) 462-6155.

Pine Ridge Indian Health Service Hospital is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962559518. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (605) 462-6155.

Contact Information

Pine Ridge Indian Health Service Hospital
210 1st St
Wanblee
SD 57577-0290
(605) 462-6155
(605) 462-6631

Map and Direction


Primary Care Clinic Profile

Full NamePine Ridge Indian Health Service Hospital
SpecialityClinic/Center
Location210 1st St, Wanblee, South Dakota
Authorized Official Name and PositionRhonda M Akers (HEALTH SYSTEM SPECIALIST)
Authorized Official Contact6058673032
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pine Ridge Indian Health Service Hospital
Po Box 290
210 1st St
Wanblee
SD 57577-0290

Ph: (605) 462-6155		Pine Ridge Indian Health Service Hospital
210 1st St
Wanblee
SD 57577-0290

Ph: (605) 462-6155

NPI Details:

NPI Number1962559518
Provider Enumeration Date01/05/2007
Last Update Date09/29/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4688654130
Medicare Enrollment IDO20040723000965

Medical Identifiers

Medical identifiers for Pine Ridge Indian Health Service Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962559518NPI-NPPES
5540040MedicaidSD
430098OtherCMS
HSZU07OtherMEDICARE PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pine Ridge Indian Health Service Hospital acts as a billing entity for following providers:
Provider NameMark M Krause
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1750341962
PECOS PAC ID: 2961443650
Enrollment ID: I20050512000419
Provider NameKathryn A Hettinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689690919
PECOS PAC ID: 7810931367
Enrollment ID: I20050615000347
Provider NameAngel L Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164430658
PECOS PAC ID: 1153327788
Enrollment ID: I20061004000583
Provider NameAndrew S Qualm
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1881669661
PECOS PAC ID: 6709962418
Enrollment ID: I20080320000509
Provider NameAmanda M Youngers
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1568625531
PECOS PAC ID: 4587731856
Enrollment ID: I20080929000388
Provider NameMary E Kelly
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1902813652
PECOS PAC ID: 5496813693
Enrollment ID: I20101213000808
Provider NameMatthew J Cazan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861479453
PECOS PAC ID: 8022290824
Enrollment ID: I20110316000238
Provider NameChristine A Walker
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1710959564
PECOS PAC ID: 7416967732
Enrollment ID: I20110421000761
Provider NameLaura Cottam Dewitt
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407936578
PECOS PAC ID: 8022172501
Enrollment ID: I20110914000537
Provider NameMichael A Kalinosky
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770551269
PECOS PAC ID: 4183717374
Enrollment ID: I20120816000831
Provider NameMargaret E Musselman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174736664
PECOS PAC ID: 5395792535
Enrollment ID: I20130131000486
Provider NameMichelle L Pino
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1992864896
PECOS PAC ID: 1254491848
Enrollment ID: I20130424000230
Provider NameGregory P Thompson
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1174527816
PECOS PAC ID: 3375437262
Enrollment ID: I20130614000327
Provider NameDonna Gayle Warner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154389393
PECOS PAC ID: 5698719086
Enrollment ID: I20130911000609
Provider NameCheryl Scaff
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1801231345
PECOS PAC ID: 4981848470
Enrollment ID: I20130924000418
Provider NameMarylou Karambizi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528491131
PECOS PAC ID: 4880821867
Enrollment ID: I20131219000445
Provider NameLisa Catherine Doom-anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972932374
PECOS PAC ID: 9436387370
Enrollment ID: I20140401000340
Provider NameAdam M Borah
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1831173350
PECOS PAC ID: 3779716287
Enrollment ID: I20140508000933
Provider NameMary L Goodsett
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1053316778
PECOS PAC ID: 4789658014
Enrollment ID: I20140604002277
Provider NameJames E Rohan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144290347
PECOS PAC ID: 5991779852
Enrollment ID: I20140630001429
Provider NameKyle G Flowers
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063710580
PECOS PAC ID: 2769703107
Enrollment ID: I20150610001387
Provider NameDonald Von Borstel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275887663
PECOS PAC ID: 3779894860
Enrollment ID: I20150617001059
Provider NameJacqueline M Sellner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003213430
PECOS PAC ID: 6507183654
Enrollment ID: I20150624001249
Provider NameHelen D Geils
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720250178
PECOS PAC ID: 8325938194
Enrollment ID: I20151123002574
Provider NameLaurie J Brucia
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1063661973
PECOS PAC ID: 2668540964
Enrollment ID: I20160407000810
Provider NameGeorge Polanco
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326019332
PECOS PAC ID: 0244210755
Enrollment ID: I20160713002114
Provider NameArelis Benitez Quinones
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1275635500
PECOS PAC ID: 0648424333
Enrollment ID: I20161215000039
Provider NameColette Thorpe Knudsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639406317
PECOS PAC ID: 9436282654
Enrollment ID: I20170105001112
Provider NameRachel A Biemiller
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1790927390
PECOS PAC ID: 0042453680
Enrollment ID: I20170113000353
Provider NameDouglas L Lasuer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1851338198
PECOS PAC ID: 8820013410
Enrollment ID: I20170418001541
Provider NameBlake Edward Weaver
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497785893
PECOS PAC ID: 6103890975
Enrollment ID: I20170629001468
Provider NameSusan Hendren
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1629593165
PECOS PAC ID: 2466712864
Enrollment ID: I20180202001634
Provider NameLaura Romcevich Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912249665
PECOS PAC ID: 9931336229
Enrollment ID: I20180306000560
Provider NameJoyce Chukwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356879852
PECOS PAC ID: 9133481989
Enrollment ID: I20180315000673
Provider NameJennifer Mchorse
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285883819
PECOS PAC ID: 7315294824
Enrollment ID: I20180716000318
Provider NameKarana M Pierre
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1831194042
PECOS PAC ID: 5496715781
Enrollment ID: I20190528001641
Provider NameEugenio Erquiaga
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528005048
PECOS PAC ID: 6002947033
Enrollment ID: I20190923000256
Provider NameDalton E Latham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194291179
PECOS PAC ID: 5991037061
Enrollment ID: I20191023002325
Provider NameJulie A Freeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225683915
PECOS PAC ID: 4385976224
Enrollment ID: I20191028000294
Provider NameNabil A Yassa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467438911
PECOS PAC ID: 8729020839
Enrollment ID: I20200609000648
Provider NameChristopher D Roman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033266838
PECOS PAC ID: 1850482761
Enrollment ID: I20200701000532
Provider NameNeil A Goodloe
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1376589317
PECOS PAC ID: 6305840794
Enrollment ID: I20200818000023
Provider NameSocrates P Maroudis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073792651
PECOS PAC ID: 5698828168
Enrollment ID: I20201006000103
Provider NameJessica Ann Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326557778
PECOS PAC ID: 6800153800
Enrollment ID: I20201216000197
Provider NameJohanna C Hewitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235726753
PECOS PAC ID: 1456768308
Enrollment ID: I20210322001396
Provider NameRenea Reano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558960153
PECOS PAC ID: 5991113631
Enrollment ID: I20210420000289
Provider NameMary T Chapman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467078162
PECOS PAC ID: 9638587082
Enrollment ID: I20210423000222
Provider NameRafel Alvarez
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215383005
PECOS PAC ID: 7618247586
Enrollment ID: I20210706000944
Provider NameSusan J Walden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376041426
PECOS PAC ID: 2062764830
Enrollment ID: I20210802001632
Provider NameJoseph Liberal Giramata
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831666197
PECOS PAC ID: 5890033864
Enrollment ID: I20210804000960
Provider NameLori Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598820284
PECOS PAC ID: 5496989394
Enrollment ID: I20210823001653
Provider NameAmaya Basta
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1457589699
PECOS PAC ID: 0042434524
Enrollment ID: I20220118001954
Provider NameDustin W Cheney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225492606
PECOS PAC ID: 9133523418
Enrollment ID: I20220324000946
Provider NameJennifer Risse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821582990
PECOS PAC ID: 4183964109
Enrollment ID: I20221102002353
Provider NameAnnabel L Bradford
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215324694
PECOS PAC ID: 1355655572
Enrollment ID: I20231008000114
Provider NameCashana Betterly
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972967263
PECOS PAC ID: 5294027207
Enrollment ID: I20240419002470
Provider NameStephanie S Gardner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730316878
PECOS PAC ID: 6103357033
Enrollment ID: I20241003000360
Provider NameChristina M Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427473164
PECOS PAC ID: 1850824384
Enrollment ID: I20241023000810
Provider NameRobert L Wilder
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770135519
PECOS PAC ID: 6608304589
Enrollment ID: I20250106001149
Provider NameYaa Yamoah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346935079
PECOS PAC ID: 7911435870
Enrollment ID: I20250107000749
Provider NameAngela M Vanhese
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1992585434
PECOS PAC ID: 7113457722
Enrollment ID: I20250212001633
Provider NameKaren Jacques-huntley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669875712
PECOS PAC ID: 8628290475
Enrollment ID: I20250226001610

Reviews and Comments


Clinic/Center in Wanblee, SD

Pine Ridge Indian Health Service
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 210 1st St, Wanblee, SD 57577
Phone: 605-462-6155    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.