Katie Donnell Mandle, REGISTERED NURSE
NPI 1164045308ActiveIndividual· Registered Nurse, Emergency· Eagle Butte, SD
Registered Nurse, Emergency (REGISTERED NURSE) in Eagle Butte, South Dakota, licensed in MO, with an NPI issued in May 2020.
Overview
| NPI | 1164045308 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED NURSE |
| Sole proprietor | No |
| NPI issued | May 21, 2020 |
| Last updated in NPPES | May 21, 2020 |
| Certified by provider | May 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Emergency Primary | 163WE0003X | 130108 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 21 Registered Nurse, Emergency providers in Eagle Butte · All Registered Nurse, Emergency providers in South Dakota