DAKOTA PREMIER MEDICAL CLINIC, LLC
NPI 1356123814
Nurse Practitioner - Family in Rapid City, SD

Q: What is Dakota Premier Medical Clinic, LLC's NPI number?

The NPI number for Dakota Premier Medical Clinic, LLC is 1356123814. It was assigned to this organization in the NPPES registry on October 19, 2023.

Q: What is Dakota Premier Medical Clinic, LLC's specialty?

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

Active since October 19, 2023CLIA 43D2293743 · Waiver

2006 MOUNT RUSHMORE RD STE 2, RAPID CITY, SD 57701(605) 416-9930(605) 416-9931 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 20, 2023, Nov 16, 2023, Nov 3, 2023 and 1 more (4 updates tracked since 2023).

On this page

About Dakota Premier Medical Clinic, Llc NPPES

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

DAKOTA PREMIER MEDICAL CLINIC, LLC (NPI 1356123814) is a healthcare organization registered as a family in Rapid City, South Dakota and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Kelli L Gunn, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1356123814

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameDAKOTA PREMIER MEDICAL CLINIC, LLC

Location Address2006 MOUNT RUSHMORE RD STE 2Rapid City, SD 57701-4726

Mailing Address2006 Mount Rushmore Rd Ste 2Rapid City, SD 57701-4726 · (605) 416-9930

Phone(605) 416-9930

Fax(605) 416-9931

Organization SubpartNo

Authorized OfficialKelli L GunnExecutive Officer · (605) 416-9930

Enumeration DateOctober 19, 2023

Last NPPES UpdateNovember 20, 20234 updates tracked since enumeration

NPPES CertifiedNovember 20, 2023

✔ NPI 1356123814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

2006 MOUNT RUSHMORE RD STE 2, Rapid City, SD 57701

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2293743

Dakota Premier Medical Clinic LLC · Rapid City, SD

Active · expires Nov 13, 2027

CLIA Number43D2293743

Laboratory TypePhysician Office

Certificate Effective DateNovember 14, 2025

Certificate Expiration DateNovember 13, 2027

Laboratory DirectorKelli Gunn

Laboratory Phone(605) 416-9930

Laboratory LocationDakota Premier Medical Clinic LLC2006 Mount Rushmore Rd Suite 2, Rapid City, SD 57701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. KELLI GUNN DNP, FNP-C

Nurse Practitioner (Family)

2006 MOUNT RUSHMORE RD STE 2
RAPID CITY, SD 57701

Meade County (605) 416-9930

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 Dakota Premier Medical Clinic, LLC's NPI number?

The NPI number for Dakota Premier Medical Clinic, LLC is 1356123814. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Dakota Premier Medical Clinic, LLC located?

Dakota Premier Medical Clinic, LLC is located at 2006 Mount Rushmore Rd Ste 2, Rapid City, SD 57701. The listed phone number is (605) 416-9930.

What is Dakota Premier Medical Clinic, LLC's specialty?

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

Does Dakota Premier Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2293743) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dakota Premier Medical Clinic, LLC accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Dakota Premier Medical Clinic, LLC 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.

When was this NPI record last updated?

The NPPES record for Dakota Premier Medical Clinic, LLC was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.