MARY MAKENNA LOPOUR CNP
NPI 1699444315
Nurse Practitioner - Family in Pierre, SD
About Mary Makenna Lopour Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY MAKENNA LOPOUR CNP (NPI 1699444315) is an individual family provider in Pierre, South Dakota, licensed in South Dakota (CP002133) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mary Makenna Lopour Cnp 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 Reassignment
Medicare enrollment records show Mary Lopour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pierre, SD 57501
- Reassigned Medicare billing, South Dakota enrollment
- 197 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 5
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera St Mary's Hospital
Acute Care Hospitals · Pierre, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57501 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.
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 Mary Lopour's NPI number?
The NPI number for Mary Lopour is 1699444315. It was assigned to this individual provider in the NPPES registry on September 7, 2021.
Where is Mary Lopour located?
Mary Lopour practices at 801 E Sioux Ave, Pierre, SD 57501. The listed phone number is (605) 224-3100.
What is Mary Lopour's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Lopour enrolled in Medicare?
Yes. Mary Lopour 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 organization bills Medicare for Mary Lopour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lopour reassigns Medicare benefits to Avera St Marys (Pierre, SD). The 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 Mary Lopour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Lopour accept?
Health plans from Avera Health Plans, Oscar Insurance Company and Wellmark of South Dakota, Inc. list Mary Lopour 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 Mary Lopour affiliated with any hospitals?
According to CMS data, Mary Lopour is affiliated with Avera St Mary's Hospital.
When was this NPI record last updated?
The NPPES record for Mary Lopour was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.