RYAN FREDERICK POPPE RN
NPI 1053806455
Nurse Practitioner - Family in Watertown, SD

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
1056 29TH ST SE, WATERTOWN, SD 57201(605) 753-0960 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2023, Jul 6, 2018, Jun 27, 2018 (3 updates tracked since 2018).

About Ryan Frederick Poppe Rn NPPES

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

RYAN FREDERICK POPPE RN (NPI 1053806455) is an individual family provider in Watertown, South Dakota, licensed in South Dakota (CP001399) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and maintains a secondary practice location in Scotland.

NPPES Registry Identity

NPI1053806455
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRYAN FREDERICK POPPECredential: RN
Location Address1056 29TH ST SEWatertown, SD 57201-9120
Mailing Address600 Billars StScotland, SD 57059-2026 · (605) 583-2226
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2018
Last NPPES UpdateFebruary 7, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
NPI 1053806455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SD · CP001399
Also ListedRegistered NurseTaxonomy 163W00000X · License R036441 (SD)
Also ListedNurse PractitionerTaxonomy 363L00000X · License CP001399 (SD)
1056 29TH ST SE, Watertown, SD 57201

Secondary Practice Location 1

Location 1600 Billars StScotland, SD 57059 · Phone (605) 583-2226

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan Frederick Poppe Rn 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.

PECOS PAC ID2163771825
PECOS Enrollment IDI20180814003084
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57201 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 6

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

Nurse Practitioner (Acute Care)
1056 29TH ST SE
WATERTOWN, SD 57201
Nurse Practitioner (Family)
1056 29TH ST SE
WATERTOWN, SD 57201
Nurse Practitioner (Acute Care)
1056 29TH ST SE
WATERTOWN, SD 57201
Nurse Practitioner
1056 29TH ST SE
WATERTOWN, SD 57201
Nurse Practitioner (Family)
1056 29TH ST SE
WATERTOWN, SD 57201
Nurse Practitioner
1056 29TH ST SE
WATERTOWN, SD 57201

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 Ryan Poppe's NPI number?

The NPI number for Ryan Poppe is 1053806455. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Ryan Poppe located?

Ryan Poppe practices at 1056 29th St SE, Watertown, SD 57201. The listed phone number is (605) 753-0960.

What is Ryan Poppe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ryan Poppe enrolled in Medicare?

Yes. Ryan Poppe 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.

What insurance does Ryan Poppe accept?

Health plans from Medica, Oscar Insurance Company and Sanford Health Plan list Ryan Poppe 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 Ryan Poppe affiliated with any hospitals?

According to CMS data, Ryan Poppe is affiliated with Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Poppe was last updated on February 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.