MS. SHIRLEY JO RODDY CNP
NPI 1881778553
Nurse Practitioner - Family in Rapid City, SD

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701(605) 342-3280(605) 721-8458 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Shirley Jo Roddy Cnp NPPES

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

MS. SHIRLEY JO RODDY CNP (NPI 1881778553) is an individual family provider in Rapid City, South Dakota, licensed in South Dakota (CP000220) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1881778553
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SHIRLEY JO RODDYCredential: CNP
Location Address2820 MOUNT RUSHMORE RDRapid City, SD 57701-5462
Mailing AddressPo Box 6020Rapid City, SD 57709-6020 · (605) 342-3280 · Fax (605) 721-8458
Fax(605) 721-8458
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 6, 2009
NPI 1881778553 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
License Licensed in SD · CP000220
2820 MOUNT RUSHMORE RD, Rapid City, SD 57701

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

Ms. Shirley Jo Roddy 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 ID9931254430
PECOS Enrollment IDI20211202000382
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 8

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.
172 services116 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.
103 services70 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
56 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
40 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
19 services18 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers35 claims35 services$89.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$34.90 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 20

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

Pediatrics
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701
Hearing Aid Equipment
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701
Internal Medicine (Gastroenterology)
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701
Dermatology
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701
Otolaryngology
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701
Physician Assistant
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701
Nurse Practitioner (Family)
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701
Physician Assistant
2820 MOUNT RUSHMORE RD
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 Shirley Roddy's NPI number?

The NPI number for Shirley Roddy is 1881778553. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Shirley Roddy located?

Shirley Roddy practices at 2820 Mount Rushmore Rd, Rapid City, SD 57701. The listed phone number is (605) 342-3280.

What is Shirley Roddy's specialty?

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

Is Shirley Roddy enrolled in Medicare?

Yes. Shirley Roddy 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.

When was this NPI record last updated?

The NPPES record for Shirley Roddy was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.