MS. KRISTA BREE BIRKELO DO
NPI 1649435165
Emergency Medicine in Spearfish, SD
About Ms. Krista Bree Birkelo Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTA BREE BIRKELO DO (NPI 1649435165) is an individual emergency medicine provider in Spearfish, South Dakota, licensed in South Dakota (1359) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Steele Memorial Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Ms. Krista Bree Birkelo Do 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 Reassignments
13Medicare enrollment records show Krista Birkelo reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spearfish, SD 57783
- Reassigned Medicare billing, South Dakota enrollment
- 321 clinicians in this Medicare group
Guernsey, WY 82214
- Reassigned Medicare billing, Wyoming enrollment
- 28 clinicians in this Medicare group
Miles City, MT 59301
- Reassigned Medicare billing, Montana enrollment
- 88 clinicians in this Medicare group
Torrington, WY 82240
- Reassigned Medicare billing, Wyoming enrollment
- Also billed through NPI 1669410643 (Wyoming)
- 64 clinicians in this Medicare group
Mobridge, SD 57601
- Reassigned Medicare billing, South Dakota enrollment
- Medicare enrollment name: Avera St Lukes
- 259 clinicians in this Medicare group
Worland, WY 82401
- Reassigned Medicare billing, Wyoming enrollment
- 46 clinicians in this Medicare group
Red Lodge, MT 59068
- Reassigned Medicare billing, Montana enrollment
- 85 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Montana enrollment
- 163 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Montana enrollment
- 325 clinicians in this Medicare group
Boulder, MT 59632
- Reassigned Medicare billing, Montana enrollment
- 278 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 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Steele Memorial Medical Center
Critical Access Hospitals · Salmon, IDSt James Healthcare
Acute Care Hospitals · Butte, MTProvidence St Joseph Medical Center
Critical Access Hospitals · Polson, MTHoly Rosary Healthcare
Critical Access Hospitals · Miles City, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57783 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.
SPEARFISH, SD 57783
SPEARFISH, SD 57783
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 Krista Birkelo's NPI number?
The NPI number for Krista Birkelo is 1649435165. It was assigned to this individual provider in the NPPES registry on July 24, 2008.
Where is Krista Birkelo located?
Krista Birkelo practices at 1440 N Main St, Spearfish, SD 57783. The listed phone number is (605) 644-4004.
What is Krista Birkelo's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Krista Birkelo enrolled in Medicare?
Yes. Krista Birkelo 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 Krista Birkelo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krista Birkelo reassigns Medicare benefits to 13 organizations: Monument Health Network, Inc. (Spearfish, SD), Platte County Hospital (Guernsey, WY), Holy Rosary Healthcare (Miles City, MT), Community Hospital (Torrington, WY), Avera St. Luke's (Mobridge, SD) and 8 more organizations, listed in the Medicare section above. 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 Krista Birkelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krista Birkelo accept?
Health plans from Avera Health Plans, Blue Cross and Blue Shield of Montana, Oscar Insurance Company, Providence Health Plan and Sanford Health Plan and 1 other insurer list Krista Birkelo 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 Krista Birkelo affiliated with any hospitals?
According to CMS data, Krista Birkelo is affiliated with Steele Memorial Medical Center, St James Healthcare, Providence St Joseph Medical Center and Holy Rosary Healthcare.
When was this NPI record last updated?
The NPPES record for Krista Birkelo was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Krista Bree Birkelo, DO · NPI 1649435165
Emergency Medicine physician in Spearfish, South Dakota. Individual provider, active in the CMS NPPES registry since July 24, 2008.
## Identity
- **NPI:** 1649435165 (Entity type: Individual)
- **Enumerated:** July 24, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 1359 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1440 N MAIN ST, Spearfish, SD 57783-1505
- **Phone:** (605) 644-4004 · **Fax:** (605) 644-4006
## 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:** 13 organizations under Medicare reassignment (form CMS-855R): Monument Health Network, Inc. (NPI 1174569347, Spearfish, SD); Platte County Hospital (NPI 1265469506, Guernsey, WY); Holy Rosary Healthcare (NPI 1225201825, Miles City, MT); Community Hospital (NPI 1164950036, Torrington, WY); Avera St. Luke's (NPI 1639373756, Mobridge, SD); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2008
## Record status
- **NPPES last updated:** June 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649435165) · Data from the CMS NPPES public registry.