Dakota Premier Medical Clinic, LLC
NPI 1356123814ActiveOrganization· Nurse Practitioner, Family· Rapid City, SD
Nurse Practitioner, Family in Rapid City, South Dakota, registered in NPPES in October 2023. The authorized official on file is Kelli L. Gunn, DNP, FNP-C, Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356123814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2023 |
| Last updated in NPPES | Nov 20, 2023 |
| Certified by provider | Nov 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SD) |
|---|
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