EVELYN M PROVELL CNP
NPI 1851347975
Nurse Practitioner in Rapid City, SD

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4150 FIFTH STREET, RAPID CITY, SD 57701(605) 399-4300(605) 399-4352 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evelyn M Provell Cnp NPPES

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

EVELYN M PROVELL CNP (NPI 1851347975) is an individual nurse practitioner in Rapid City, South Dakota, licensed in South Dakota (CP000313) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1851347975
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEVELYN M PROVELLCredential: CNP
Location Address4150 FIFTH STREETRapid City, SD 57701
Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000
Fax(605) 399-4352
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 26, 2006
Last NPPES UpdateJanuary 3, 2013
NPI 1851347975 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 · CP000313
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.
4150 FIFTH STREET, Rapid City, SD 57701

Other Identifiers 1

Medicare UPINP39357SD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evelyn M Provell 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.

PECOS PAC ID5597774257
PECOS Enrollment IDI20060407000624
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.

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.
155 services138 patients
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.
117 services108 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Hans P Peterson Memorial Hospital - Cah

Critical Access Hospitals · Philip, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431319
Location503 W Pine Post Office Box 790Philip, SD 57567 · Haakon County
Emergency services

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 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

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Cardiovascular Disease)
4150 FIFTH STREET
RAPID CITY, SD 57701
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4150 FIFTH STREET
RAPID CITY, SD 57701
Nurse Practitioner
4150 FIFTH STREET
RAPID CITY, SD 57701
Nurse Practitioner
4150 FIFTH STREET
RAPID CITY, SD 57701
Nurse Practitioner
4150 FIFTH STREET
RAPID CITY, SD 57701
Internal Medicine (Cardiovascular Disease)
4150 FIFTH STREET
RAPID CITY, SD 57701
Internal Medicine (Cardiovascular Disease)
4150 FIFTH STREET
RAPID CITY, SD 57701
Nurse Practitioner
4150 FIFTH STREET
RAPID CITY, SD 57701

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 Evelyn Provell's NPI number?

The NPI number for Evelyn Provell is 1851347975. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Evelyn Provell located?

Evelyn Provell practices at 4150 Fifth Street, Rapid City, SD 57701. The listed phone number is (605) 399-4300.

What is Evelyn Provell's specialty?

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

Is Evelyn Provell enrolled in Medicare?

Yes. Evelyn Provell 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.

What insurance does Evelyn Provell accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Evelyn Provell 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 Evelyn Provell affiliated with any hospitals?

According to CMS data, Evelyn Provell is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Hans P Peterson Memorial Hospital - Cah, Monument Health Sturgis Hospital and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Evelyn Provell was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.