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SHANNELLE SUSANNE RICO MD
NPI 1023078623
Family Medicine in Rosebud, SD

Active since March 27, 2006PECOS Enrolled
ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD, ROSEBUD, SD 57570(605) 747-3245(605) 747-2216 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannelle Susanne Rico Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNELLE SUSANNE RICO MD (NPI 1023078623) is an individual family medicine provider in Rosebud, South Dakota, licensed in Indiana (01050363A) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023078623
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHANNELLE SUSANNE RICOCredential: MD
Location AddressROSEBUD IHS HOSPITAL, SOLDIER CREEK ROADRosebud, SD 57570-0400
Mailing AddressHwy 77/75, P.o. Box HhWinnebago, NE 68071-0767 · (402) 878-2231
Phone(605) 747-3245
Fax(605) 747-2216
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateJuly 16, 2015
✔ NPI 1023078623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01050363A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
ROSEBUD IHS HOSPITAL, Rosebud, SD 57570
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Other Names 1

Professional Name (2)Shannelle Susanne Rico Md

Other Identifiers 4

Medicare UPING56650
Other000000378568IN · Blue Cross
Medicare ID-Type Unspecified181590HIN
Medicaid200381310IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannelle Susanne Rico Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Shannelle Rico reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rosebud Indian Health Service
2.1 mi
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
NPI 1194757369 (605) 747-3245
Great Plains Tribal Chairmen's Health Board
134 mi
Pharmacy
3200 CANYON LAKE DR
Rapid City, SD 57702
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
NPI 1376105452 (605) 721-1922
Us Dept Of Hhs
331 mi
Clinic/Center
100 CHEYENNE AVE
Lame Deer, MT 59043
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Health Dept Of Health & Human Services
  • 306 clinicians in this Medicare group
NPI 1053487991 (406) 477-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
52 services44 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57570 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEBRA JO SULLY REGISTERED NURSE
Registered Nurse
ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Todd County (605) 747-2231
WILMA POMANI REGISTERED NURSE
Registered Nurse
ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Todd County (605) 747-2231
DR. RONALD TODD GOLDSTEIN DMD
Dentist
ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Todd County (605) 747-3245
MS. DANITA R WASSENBERG REGISTERED NURSE
Registered Nurse
ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Todd County (605) 747-2231
MARVELLA NANCY BRAVEBIRD REGISTERED NURSE
Registered Nurse
ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Todd County (605) 747-2231
MS. TANYA A FAY NURSE
Licensed Practical Nurse
ROSEBUD IHS HOSPITAL, HWY 18 SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Todd County (605) 747-2231
PAULINE SYLVIA CLOUDMAN REGISTERED NURSE
Registered Nurse
ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Todd County (605) 747-2231
MS. EVELYN M BOYD REGISTERED NURSE
Registered Nurse
ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Todd County (605) 747-2231

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannelle Rico's NPI number?

The NPI number for Shannelle Rico is 1023078623. It was assigned to this individual provider in the NPPES registry on March 27, 2006. The provider is also known as Shannelle Susanne Rico MD.

Where is Shannelle Rico located?

Shannelle Rico practices at Rosebud Ihs Hospital Soldier Creek Road, Rosebud, SD 57570. The listed phone number is (605) 747-3245.

What is Shannelle Rico's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannelle Rico enrolled in Medicare?

Yes. Shannelle Rico is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannelle Rico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannelle Rico reassigns Medicare benefits to 3 organizations: Rosebud Indian Health Service (Rosebud, SD), Great Plains Tribal Chairmen's Health Board (Rapid City, SD) and Us Dept Of Hhs (Lame Deer, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannelle Rico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannelle Rico was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.