GREAT PLAINS GERIATRICS LLC
NPI 1710582903
Clinic/Center - Multi-Specialty in Hill City, SD

Active since December 03, 2020
135 PONDEROSA AVE, HILL CITY, SD 57745(612) 987-1090 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2023, Mar 3, 2021, Jan 5, 2021 and 1 more (4 updates tracked since 2020).

About Great Plains Geriatrics Llc NPPES

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

GREAT PLAINS GERIATRICS LLC (NPI 1710582903) is a healthcare organization registered as a multi-specialty in Hill City, South Dakota and active in the NPI registry since December 2020. The organization lists Ben Rodarte, Credentialing/billing Manager, as its authorized official.

NPPES Registry Identity

NPI1710582903
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGREAT PLAINS GERIATRICS LLC
Location Address135 PONDEROSA AVEHill City, SD 57745-6057
Mailing Address135 Ponderosa AveHill City, SD 57745-6057 · (612) 987-1090
Organization SubpartNo
Authorized OfficialBen RodarteCredentialing/billing Manager · (720) 281-6172
Enumeration DateDecember 3, 2020
Last NPPES UpdateMarch 1, 20234 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1710582903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
135 PONDEROSA AVE, Hill City, SD 57745

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Plains Geriatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth DakotaEnrollment IDO20210115002325Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Great Plains Geriatrics LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1770556599
118 PONDEROSA AVE
Hill City, SD 57745
(605) 394-2118
✔ PECOS0.1 mi
Geriatric Medicine
NPI 1023021409
1415 LILAC DR N STE 190
Golden Valley, MN 55422
(763) 267-8701
✔ PECOS511 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Great Plains Geriatrics LLC's NPI number?

The NPI number for Great Plains Geriatrics LLC is 1710582903. It was assigned to this organization in the NPPES registry on December 3, 2020.

Where is Great Plains Geriatrics LLC located?

Great Plains Geriatrics LLC is located at 135 Ponderosa Ave, Hill City, SD 57745. The listed phone number is (612) 987-1090.

What is Great Plains Geriatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Great Plains Geriatrics LLC enrolled in Medicare?

Yes. Great Plains Geriatrics LLC is registered in the Medicare PECOS enrollment system.

When is Great Plains Geriatrics LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Dakota, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Great Plains Geriatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Great Plains Geriatrics LLC, in Family Practice and Geriatric Medicine. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Great Plains Geriatrics LLC was last updated on March 1, 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.