MATTHEW DAVALOS
NPI 1043189277
Nurse Practitioner - Family in Rapid City, SD
About Matthew Davalos NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW DAVALOS (NPI 1043189277) is an individual family provider in Rapid City, South Dakota, licensed in South Dakota (CP003907) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS, is affiliated with Black Hills Surgical Hospital Llp, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Davalos is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Davalos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rapid City, SD 57701
- Reassigned Medicare billing, South Dakota enrollment
- Also billed through NPI 1376896621 (South Dakota)
- 161 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Black Hills Surgical Hospital LLP
Acute Care Hospitals · Rapid City, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RAPID CITY, SD 57701
RAPID CITY, SD 57701
RAPID CITY, SD 57701
RAPID CITY, SD 57701
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 Matthew Davalos's NPI number?
The NPI number for Matthew Davalos is 1043189277. It was assigned to this individual provider in the NPPES registry on November 4, 2025.
Where is Matthew Davalos located?
Matthew Davalos practices at 216 Anamaria Dr, Rapid City, SD 57701. The listed phone number is (605) 721-4700.
What is Matthew Davalos's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Matthew Davalos enrolled in Medicare?
Yes. Matthew Davalos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Matthew Davalos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Davalos reassigns Medicare benefits to Black Hills Surgical Hospital, LLC (Rapid City, SD). The 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 Matthew Davalos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Davalos accept?
Health plans from Wellmark of South Dakota, Inc. list Matthew Davalos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Matthew Davalos affiliated with any hospitals?
According to CMS data, Matthew Davalos is affiliated with Black Hills Surgical Hospital LLP.
When was this NPI record last updated?
The NPPES record for Matthew Davalos was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Matthew Davalos · NPI 1043189277
Family physician in Rapid City, South Dakota. Individual provider, active in the CMS NPPES registry since November 4, 2025.
## Identity
- **NPI:** 1043189277 (Entity type: Individual)
- **Enumerated:** November 4, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CP003907 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 216 ANAMARIA DR, Rapid City, SD 57701-7366
- **Phone:** (605) 721-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Black Hills Surgical Hospital, LLC (NPI 1972630275, Rapid City, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043189277) · Data from the CMS NPPES public registry.