Shari A. Fechner, CNP
NPI 1255301305ActiveIndividual· Nurse Practitioner· Rapid City, SD
Nurse Practitioner (CNP) with Black Hills Surgical Hospital LLC and 1 other group, practicing in Rapid City, South Dakota. Their prescriptions cost Medicare Part D more than their services did: $1,055,369 for 1,881 claims, against $50,429 paid for services in 2024. Abbvie Inc. was the largest of 5 companies reporting payments in 2025, $198.04 in all, mostly food and beverage. Lists Black Hills Surgical Hospital LLC and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1255301305 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Jan 23, 2006 |
| Last updated in NPPES | Jan 24, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | CP000402 | SD |
| Nurse Practitioner | 363L00000X | R029238 | SD |
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) | Enrolled Practitioner - Nurse Practitioner (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 542 |
|---|---|
| Services billed | 1,865 across 17 procedure codes |
| Paid by Medicare | $50,429 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,881 · 4,206 30-day fills |
|---|---|
| Patients | 262 |
| Total drug cost | $1,055,369 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Black Hills Surgical Hospital LLCSpearfish, SD · 174 clinicians
- Black Hills Orthopedic and Spine Center IncRapid City, SD · 72 clinicians
Hospital affiliations
- Black Hills Surgical Hospital LLCRapid City, SD
- Monument Health Custer HospitalCuster, SD
- Monument Health Rapid City HospitalRapid City, SD
- Monument Health Sturgis HospitalSturgis, SD
- Weston County Health ServicesNewcastle, WY
Industry payments (Open Payments)
- 2025$198.04 · 9 payments from 5 companies
- 2024$1,238 · 13 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $62.99 | 2 |
| Ucb, Inc. | $49.18 | 2 |
| Amgen Inc. | $43.03 | 3 |
| Pharming Healthcare, Inc. | $22.42 | 1 |
| Janssen Biotech, Inc. | $20.42 | 1 |
What the 2025 payments were for
- Food and Beverage$198.04 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 107 nurse practitioners in Rapid City · All nurse practitioners in South Dakota