JENNIFER FRANKE
NPI 1457885477
Nurse Practitioner - Family in Rapid City, SD

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
353 FAIRMONT BLVD, RAPID CITY, SD 57701(605) 755-1000 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 24, 2022, May 23, 2017, Apr 17, 2017 (3 updates tracked since 2017).

About Jennifer Franke NPPES

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

JENNIFER FRANKE (NPI 1457885477) is an individual family provider in Rapid City, South Dakota, licensed in South Dakota (CP001189) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457885477
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER FRANKE
Location Address353 FAIRMONT BLVDRapid City, SD 57701-7375
Mailing Address109 Pugh StMartin, SD 57551-7700 · (605) 685-6868 · Fax (605) 685-6943
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 17, 2017
Last NPPES UpdateFebruary 13, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1457885477 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
License✔ Licensed in SD · CP001189
353 FAIRMONT BLVD, Rapid City, SD 57701

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

Jennifer Franke 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 ID9234409871
PECOS Enrollment IDI20170714001117
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

2

Medicare enrollment records show Jennifer Franke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
353 FAIRMONT BLVD
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
Family Medicine
238 ELM ST
Hill City, SD 57745
  • Reassigned Medicare billing, South Dakota enrollment
  • 321 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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
127 services126 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

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 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.

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Internal Medicine (Pulmonary Disease)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Nurse Practitioner
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Dietitian, Registered
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Pharmacist
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Internal Medicine
353 FAIRMONT BLVD
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 Jennifer Franke's NPI number?

The NPI number for Jennifer Franke is 1457885477. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Jennifer Franke located?

Jennifer Franke practices at 353 Fairmont Blvd, Rapid City, SD 57701. The listed phone number is (605) 755-1000.

What is Jennifer Franke's specialty?

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

Is Jennifer Franke enrolled in Medicare?

Yes. Jennifer Franke 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 organizations bill Medicare for Jennifer Franke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Franke reassigns Medicare benefits to 2 organizations: Monument Health Rapid City Hospital, Inc. (Rapid City, SD) and Monument Health Network, Inc. (Hill City, SD). 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 Jennifer Franke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Franke accept?

Health plans from Oscar Insurance Company, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Jennifer Franke 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 Jennifer Franke affiliated with any hospitals?

According to CMS data, Jennifer Franke is affiliated with Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Franke was last updated on February 13, 2024. 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.