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KRISTY LOUISE SCHUMACHER FNP-C
NPI 1699495515
Nurse Practitioner - Family in Rapid City, SD

Active since August 31, 2022PECOS EnrolledAccepts Medicare Assignment
1635 CAREGIVER CIR, RAPID CITY, SD 57702(605) 755-5228(605) 755-4768 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2023, Sep 2, 2022 (2 updates tracked since 2022).

About Kristy Louise Schumacher Fnp-c NPPES

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

KRISTY LOUISE SCHUMACHER FNP-C (NPI 1699495515) is an individual family provider in Rapid City, South Dakota, licensed in South Dakota (CP002625) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Gordon Memorial Hospital District, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699495515
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTY LOUISE SCHUMACHERCredential: FNP-C
Location Address1635 CAREGIVER CIRRapid City, SD 57702-8529
Mailing AddressPo Box 2760Rapid City, SD 57709-2760 · (605) 343-1333 · Fax (605) 343-6017
Phone(605) 755-5228
Fax(605) 755-4768
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 31, 2022
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1699495515 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 · CP002625✔ Licensed in SD · F08221237
1635 CAREGIVER CIR, Rapid City, SD 57702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and more.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

Kristy Louise Schumacher Fnp-c 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 ID4981076114
PECOS Enrollment IDI20230215002609
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 Kristy Schumacher reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monument Health Rapid City Hospital, Inc
0.6 mi
Occupational Medicine
6015 MOUNT RUSHMORE RD STE 2
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1376370288 (605) 755-2273
West River Anesthesiology Consultants PC
3.0 mi
Anesthesiology
353 FAIRMONT BLVD
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 20 clinicians in this Medicare group
NPI 1396775284 (605) 343-1333
Monument Health Network, Inc.
17 mi
Family Medicine
238 ELM ST
Hill City, SD 57745
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1083681712 (South Dakota)
  • 321 clinicians in this Medicare group
NPI 1326477357 (605) 574-4470

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.

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.
115 services77 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.
102 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Gordon Memorial Hospital District

Critical Access Hospitals · Gordon, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281358
Location300 East 8th StGordon, NE 69343 · Sheridan County
Emergency services

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

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431323
Location1220 Montgomery StreetCuster, SD 57730 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 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.

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.

DR. RACHEL LYNN MICHAEL M.D.
Orthopaedic Surgery
1635 CAREGIVER CIR
RAPID CITY, SD 57702
Pennington County (605) 755-6700
DR. KATIE SANDVIG PT,DPT
Physical Therapist (Orthopedic)
1635 CAREGIVER CIR
RAPID CITY, SD 57702
Pennington County (605) 755-1142
DR. RODNEY MARK SAMUELSON MD
Neurological Surgery
1635 CAREGIVER CIR
RAPID CITY, SD 57702
Pennington County (605) 755-6100
MISS QUINN KATHRYN MCCOY PT
Physical Therapist
1635 CAREGIVER CIR
RAPID CITY, SD 57702
Pennington County (605) 755-1100
DR. STEVEN ALAN MASER M.D.
Orthopaedic Surgery (Hand Surgery)
1635 CAREGIVER CIR
RAPID CITY, SD 57702
Pennington County (605) 755-6100
TRACI LYNN STOUT MAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1635 CAREGIVER CIR
RAPID CITY, SD 57702
Pennington County (605) 755-6100
JAMIE MARIE MENTZER PT, DPT
Physical Therapist
1635 CAREGIVER CIR
RAPID CITY, SD 57702
Pennington County (605) 755-1100
MISS ROSEMARY GRACE DONNELLY RDN
Dietitian, Registered
1635 CAREGIVER CIR
RAPID CITY, SD 57702
Pennington County (605) 755-6118

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 Kristy Schumacher's NPI number?

The NPI number for Kristy Schumacher is 1699495515. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Kristy Schumacher located?

Kristy Schumacher practices at 1635 Caregiver Cir, Rapid City, SD 57702. The listed phone number is (605) 755-5228.

What is Kristy Schumacher's specialty?

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

Is Kristy Schumacher enrolled in Medicare?

Yes. Kristy Schumacher 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 Kristy Schumacher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Schumacher reassigns Medicare benefits to 3 organizations: Monument Health Rapid City Hospital, Inc (Rapid City, SD), West River Anesthesiology Consultants PC (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 Kristy Schumacher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristy Schumacher accept?

Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and UnitedHealthcare list Kristy Schumacher 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 Kristy Schumacher affiliated with any hospitals?

According to CMS data, Kristy Schumacher is affiliated with Gordon Memorial Hospital District, Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Sturgis Hospital and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Kristy Schumacher was last updated on January 23, 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.