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CONNIE BELFORD C.N.P.
NPI 1588095038
Nurse Practitioner - Family in Gettysburg, SD

Active since December 10, 2013PECOS EnrolledAccepts Medicare Assignment
606 E GARFIELD AVE STE C, GETTYSBURG, SD 57442(605) 765-2273(605) 765-2474 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Connie Belford C.n.p. NPPES

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

CONNIE BELFORD C.N.P. (NPI 1588095038) is an individual family provider in Gettysburg, South Dakota, licensed in South Dakota (SD-CNP CP000830) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1588095038
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCONNIE BELFORDCredential: C.N.P.
Location Address606 E GARFIELD AVE STE CGettysburg, SD 57442-1325
Mailing Address606 E Garfield AveGettysburg, SD 57442-1325 · (605) 765-2273 · Fax (605) 765-2474
Phone(605) 765-2273
Fax(605) 765-2474
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 10, 2013
Last NPPES UpdateNovember 26, 2019
✔ NPI 1588095038 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
Licenses✔ Licensed in SD · SD-CNP CP000830✔ Licensed in OK · R 0057542
606 E GARFIELD AVE STE C, Gettysburg, SD 57442
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark of South Dakota, Inc..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

Connie Belford C.n.p. 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 ID2466676762
PECOS Enrollment IDI20140606000054
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 Connie Belford reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Gettysburg
Same address
Critical Access
606 E GARFIELD AVE
Gettysburg, SD 57442
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1366091357 (South Dakota)
  • 39 clinicians in this Medicare group
NPI 1003887266 (605) 765-2480
Rural Health Care, Inc
22 mi
Federally Qualified Health Center (FQHC)
303 S MAIN ST
Onida, SD 57564
  • Reassigned Medicare billing, South Dakota enrollment
  • 111 clinicians in this Medicare group
NPI 1992793616 (605) 258-2635
Avera St. Mary's
49 mi
Physical Therapist
1211 E WELLS AVE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Marys
  • 197 clinicians in this Medicare group
NPI 1972082683 (605) 224-3100

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
28 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

Avera Missouri River Health Center

Critical Access Hospitals · Gettysburg, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431302
Location606 East GarfieldGettysburg, SD 57442 · Potter County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57442 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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier13 claims13 services$45.83 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier11 claims11 services$100.92 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers14 claims42 services$43.25 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers14 claims78 services$23.63 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers16 claims16 services$25.04 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers15 claims78 services$3.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

AVERA GETTYSBURG
Internal Medicine
606 E GARFIELD AVE STE C
GETTYSBURG, SD 57442
Potter County (605) 765-2273

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 Connie Belford's NPI number?

The NPI number for Connie Belford is 1588095038. It was assigned to this individual provider in the NPPES registry on December 10, 2013.

Where is Connie Belford located?

Connie Belford practices at 606 E Garfield Ave Ste C, Gettysburg, SD 57442. The listed phone number is (605) 765-2273.

What is Connie Belford's specialty?

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

Is Connie Belford enrolled in Medicare?

Yes. Connie Belford 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 Connie Belford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Belford reassigns Medicare benefits to 3 organizations: Avera Gettysburg (Gettysburg, SD), Rural Health Care, Inc (Onida, SD) and Avera St. Mary's (Pierre, 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 Connie Belford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connie Belford accept?

Health plans from Oscar Insurance Company and Wellmark of South Dakota, Inc. list Connie Belford 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 Connie Belford affiliated with any hospitals?

According to CMS data, Connie Belford is affiliated with Avera St Lukes, Avera St Mary's Hospital and Avera Missouri River Health Center.

When was this NPI record last updated?

The NPPES record for Connie Belford was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.