MR. NICHOLAS JAMES PALKO (NPI# 1801405220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801405220 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS JAMES PALKO |
| Practice Address |
111 North St Rapid City SD 57701-1163 |
| Mailing Address |
350 Elk St Rapid City SD 57701-7351 |
| Practice Telephone | 6053430650 |
| Practice Fax Number | 6053433692 |
| Mailing Telephone | 6053437262 |
| Mailing Fax Number | 6053437293 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
111 NORTH ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487170 | Ashtyn Grace Faehnrich | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-11-03 |
| 1396351524 | Drew Michael Hanson | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-09-22 |
| 1427664853 | Jordan Graham | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-09-21 |
| 1467067157 | Allison Renee Anderson | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-09-10 |
| 1053936237 | Zachary Dobbins | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-06-12 |
| 1871113456 | Lydia Oliver | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-04-23 |
| 1659991685 | Molly Bloemendaal | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-04-20 |
| 1467084186 | Alexander Norlin | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-02-11 |
| 1710526959 | Keith Croteau | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-01-06 |
| 1477197952 | Ryan Anthony Williams | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2019-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699181412 | Ashley Sargent | Case Manager/Care Coordinator | 111 North Street, Rapid City, SD 57701 | 2014-07-02 |
| 1700487170 | Ashtyn Grace Faehnrich | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-11-03 |
| 1396351524 | Drew Michael Hanson | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-09-22 |
| 1427664853 | Jordan Graham | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-09-21 |
| 1467067157 | Allison Renee Anderson | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-09-10 |
| 1053936237 | Zachary Dobbins | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-06-12 |
| 1871113456 | Lydia Oliver | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-04-23 |
| 1659991685 | Molly Bloemendaal | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-04-20 |
| 1467084186 | Alexander Norlin | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-02-11 |
| 1710526959 | Keith Croteau | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2020-01-06 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on MR. NICHOLAS JAMES PALKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.