Evelyn M Provell (NPI# 1851347975, PAC ID# 5597774257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851347975 |
| PAC ID by PECOS | 5597774257 |
| Professional Enrollment ID | I20060407000624 |
| Full Name | Evelyn M Provell |
| Organization Legal Name | RAPID CITY REGIONAL HOSPITAL INC |
| Address |
4150 5th St Rapid City SD 57701-6022 |
| Phone Number | 6057554300 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002729506 |
| Number of Group Practice Members | 355 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430077 | REGIONAL HEALTH RAPID CITY HOSPITAL |
| 430048 | REGIONAL HEALTH SPEARFISH HOSPITAL |
| 431321 | REGIONAL HEALTH STURGIS HOSPITAL |
| 281341 | CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES |
| 431323 | REGIONAL HEALTH CUSTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 353 Fairmont Blvd, Rapid City, SD 57701-7375 | RAPID CITY REGIONAL HOSPITAL INC | |
| 353 Fairmont Blvd, Suite 900, Rapid City, SD 57701-7375 | 6057556100 | RAPID CITY REGIONAL HOSPITAL INC |
| 4150 5th St, Rapid City, SD 57701-6022 | 6057554300 | RAPID CITY REGIONAL HOSPITAL INC |
| Organization Legal Name | RAPID CITY REGIONAL HOSPITAL INC |
| Physicians | 308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Lee | Nurse Practitioner | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Mindy Doom | Nurse Practitioner | Rapid City Regional Hospital Inc | 2116 Jackson Blvd, Rapid City, SD 57702-3495 |
| Natasha L Gray | Nurse Practitioner | Rapid City Regional Hospital Inc | 1635 Caregiver Cir, Rapid City, SD 57702-8529 |
| Joshua S Sole | Physical Medicine and Rehabilitation | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Kirsten A Butz | Psychiatry | Rapid City Regional Hospital Inc | 915 Mountain View Rd, Rapid City, SD 57702-3414 |
| Kimberly M Kennedy | Family Medicine | Rapid City Regional Hospital Inc | 502 E Monroe St, Rapid City, SD 57701-1400 |
| Tandis Hoffman | Physician Assistant | Rapid City Regional Hospital Inc | 717 Meade St, Suite 100, Rapid City, SD 57701-5100 |
| Dawn Jo Zastoupil | Certified Registered Nurse Anesthetist (crna) | Rapid City Regional Hospital Inc | 353 Fairmont Blvd, Rapid City, SD 57701-7375 |
| James B Ferrell | Physician Assistant | Rapid City Regional Hospital Inc | 1303 N Lacrosse St, Rapid City, SD 57701-6956 |
| Christian Gaissmaier | Cardiovascular Disease (cardiology) | Rapid City Regional Hospital Inc | 713 Oak St, Sundance, WY 82729 |
| Street Address |
4150 5TH ST |
| City | RAPID CITY |
| State | SD |
| Zip | 57701-6022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Lee | Nurse Practitioner | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Saverio J Barbera | Cardiac Electrophysiology | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Rebecca G Bierle | Nurse Practitioner | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Anurag Bajaj | Cardiovascular Disease (cardiology) | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Kimberly E Hayden | Physician Assistant | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Kendra L Joswiak | Nurse Practitioner | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Ethan P Levine | Cardiac Electrophysiology | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Morgan E Kleinsasser | Physician Assistant | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Matthew Gross | Nurse Practitioner | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Nicholas T Hollenbeck | Nurse Practitioner | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta A Kramlich | Psychologist, Clinical | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Ericka L Privitt | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Julie A Krein | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Vassilia D Young | Dermatology | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Richard P Renka | Psychiatry | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Danielle L Shafer | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Christine M Zambon | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Kenneth B Peterson | Family Medicine | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Cheryl L Reagan | Nurse Practitioner | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| David K Custis | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Find all physicians in zip 57701 | |||
| City | RAPID CITY |
| Zip Code | 57701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RAPID CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Evelyn M Provell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.