Jillian Elliott
Nurse Practitioner in Rapid City, SD. Individual provider (NPI-1).
NPI number1669899092
StatusActive
Last updated in NPPESFeb 9, 2017
Details
- NPI
- 1669899092
- Entity type
- Individual (NPI-1)
- Name
- Jillian Elliott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2014
- Last updated
- Feb 9, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | CP000850 | SD | Yes |
Practice location
2820 Mount Rushmore RdRapid City, SD 57701-5462
Phone 605-342-3280
Mailing address
Po Box 6020Rapid City, SD 57709-6020
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 108 Nurse Practitioner providers in Rapid City · All 3,899 providers in Rapid City
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