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CONNIE TSCHETTER
NPI 1760729313
Nurse Practitioner in Rapid City, SD

Active since January 15, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
520 KANSAS CITY ST STE 102, RAPID CITY, SD 57701(605) 716-3609(605) 716-3707 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2026, Mar 25, 2026, Mar 18, 2026 and 1 more (4 updates tracked since 2025).

About Connie Tschetter NPPES

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

CONNIE TSCHETTER (NPI 1760729313) is an individual nurse practitioner in Rapid City, South Dakota, licensed in South Dakota (CP000769) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1760729313
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCONNIE TSCHETTER
Location Address520 KANSAS CITY ST STE 102Rapid City, SD 57701-2766
Mailing Address520 Kansas City St Ste 102Rapid City, SD 57701-2766 · (605) 716-3609 · Fax (605) 716-3707
Phone(605) 716-3609
Fax(605) 716-3707
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 15, 2013
Last NPPES UpdateApril 28, 20264 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1760729313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP000769
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
520 KANSAS CITY ST STE 102, Rapid City, SD 57701
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Accepted Insurance

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

Connie Tschetter 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 ID1557507605
PECOS Enrollment IDI20130417000122
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 Reassignment

Medicare enrollment records show Connie Tschetter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optimum Mental Healthcare Professionals, PLLC
Same address
Psychiatry
520 KANSAS CITY ST STE 102
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 6 clinicians in this Medicare group
NPI 1285358598 (605) 716-3609

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 3

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 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.
576 services559 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services80 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.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

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
17 suppliers734 claims734 services$38.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers231 claims231 services$99.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers262 claims723 services$36.88 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers325 claims1,822 services$20.49 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers279 claims1,632 services$15.51 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers512 claims512 services$61.05 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 6

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

MS. MEGAN LEIGH DISSE PMHNP-BC, CNP
Nurse Practitioner (Psychiatric/Mental Health)
520 KANSAS CITY ST STE 102
RAPID CITY, SD 57701
Meade County (605) 716-3609
OPTIMUM MENTAL HEALTHCARE PROFESSIONALS, PLLC
Psychiatry & Neurology (Psychiatry)
520 KANSAS CITY ST STE 102
RAPID CITY, SD 57701
Meade County (605) 716-3609
LAURA SCHIRBER
Nurse Practitioner (Psychiatric/Mental Health)
520 KANSAS CITY ST STE 102
RAPID CITY, SD 57701
Meade County (605) 716-3609
MEGAN CHRISTINE BURGARD CNP
Nurse Practitioner (Family)
520 KANSAS CITY ST STE 102
RAPID CITY, SD 57701
Meade County (605) 716-3609
KIMBERLY OBERLOH
Nurse Practitioner (Psychiatric/Mental Health)
520 KANSAS CITY ST STE 102
RAPID CITY, SD 57701
Meade County (605) 716-3609
LESLIE S. MOSS CNP
Nurse Practitioner
520 KANSAS CITY ST STE 102
RAPID CITY, SD 57701
Meade County (605) 716-3609

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 Tschetter's NPI number?

The NPI number for Connie Tschetter is 1760729313. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is Connie Tschetter located?

Connie Tschetter practices at 520 Kansas City St Ste 102, Rapid City, SD 57701. The listed phone number is (605) 716-3609.

What is Connie Tschetter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Connie Tschetter enrolled in Medicare?

Yes. Connie Tschetter 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 Connie Tschetter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Tschetter reassigns Medicare benefits to Optimum Mental Healthcare Professionals, PLLC (Rapid City, 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 Connie Tschetter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connie Tschetter accept?

Health plans from Avera Health Plans, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Connie Tschetter 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 Tschetter affiliated with any hospitals?

According to CMS data, Connie Tschetter is affiliated with Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Connie Tschetter was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.