Melissa R Kludt (NPI# 1053667808, PAC ID# 6608025861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053667808 |
| PAC ID by PECOS | 6608025861 |
| Professional Enrollment ID | I20121003000179 |
| Full Name | Melissa R Kludt |
| Organization Legal Name | AVERA MCKENNAN |
| Address |
203 N Elk St Elkton SD 57026-2103 |
| Phone Number | 6055427701 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345157103 |
| Number of Group Practice Members | 682 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430012 | AVERA SACRED HEART HOSPITAL |
| 281331 | AVERA CREIGHTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 203 N Elk St, Elkton, SD 57026-2103 | 6055427701 | AVERA MCKENNAN |
| 212 N Prairie St, Flandreau, SD 57028-1243 | AVERA MCKENNAN | |
| 214 N Prairie St, Flandreau, SD 57028-1243 | 6059972433 | AVERA MCKENNAN |
| 501 Summit St, Yankton, SD 57078-3855 | 6056551201 | SACRED HEART HEALTH SERVICES |
| Organization Legal Name | AVERA MCKENNAN |
| Physicians | 732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex J Linn | Neurology | Avera Mckennan | 1301 S Cliff Ave, Suite 610, Sioux Falls, SD 57105-1032 |
| Kellie G Den Hartog | Physician Assistant | Avera Mckennan | 324 1st Ave N, Good Samaritan Society George, George, IA 51237-1029 |
| Kimberly S Metzger | Nurse Practitioner | Avera Mckennan | 1100 S 10th Ave, 100 Avera Medical Group Rock Rapids, Rock Rapids, IA 51246-2020 |
| Teresa A Jatczak | Nurse Practitioner | Avera Mckennan | 4500 N Lewis Ave, Avera Medical Group, Sioux Falls, SD 57104-7111 |
| Renju Vechurettu Raj | Hematology/oncology | Avera Mckennan | 1000 E 23rd St, Suite 200, Sioux Falls, SD 57105-2122 |
| Denise D Roemen-kramer | Nurse Practitioner | Avera Mckennan | 101 S Front St, Chamberlain, SD 57325-1612 |
| Samantha M Van Gorp | Nurse Practitioner | Avera Mckennan | 600 9th Ave N, Osceola Community Hospital Cl, Sibley, IA 51249-1012 |
| Stephanie M Nwala | Physician Assistant | Avera Mckennan | 820 2nd Ave N, Windom, MN 56101-1761 |
| Christine Pocha | General Surgery | Avera Mckennan | 1315 S Cliff Ave, Suite 1100, Sioux Falls, SD 57105-1057 |
| Holly Jensen | Nurse Practitioner | Avera Mckennan | 1200 1st Ave E, Spencer Municipal Hospital, Spencer, IA 51301-4330 |
| Street Address |
203 N ELK ST |
| City | ELKTON |
| State | SD |
| Zip | 57026-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitch D Poppens | Physician Assistant | Avera Mckennan | 203 N Elk St, Elkton, SD 57026-2103 |
| Abbie Entringer | Nurse Practitioner | Avera Mckennan | 203 N Elk St, Elkton, SD 57026-2103 |
| Caroline M Fuhrer | Physician Assistant | Avera Mckennan | 203 N Elk St, Elkton, SD 57026-2103 |
| Cindy F Deutscher | Physician Assistant | Avera Mckennan | 203 N Elk St, Elkton, SD 57026-2103 |
| Scott N Peterson | Family Medicine | Avera Mckennan | 203 N Elk St, Elkton, SD 57026-2103 |
| Debra L Busmann | Nurse Practitioner | Avera Mckennan | 203 N Elk St, Elkton, SD 57026-2103 |
| City | ELKTON |
| Zip Code | 57026 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ELKTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa R Kludt.
| 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.