CREEKSIDE MEDICAL CLINIC, PROF. LLC
NPI 1902110836
Family Medicine in Rapid City, SD
About Creekside Medical Clinic, Prof. Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREEKSIDE MEDICAL CLINIC, PROF. LLC (NPI 1902110836) is a healthcare organization registered as a family medicine in Rapid City, South Dakota and active in the NPI registry since August 2010. The organization lists Nancy E Babbitt, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
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)
Creekside Medical Clinic, Prof. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 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.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Creekside Medical Clinic, Prof. LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Creekside Medical Clinic, Prof. LLC's NPI number?
The NPI number for Creekside Medical Clinic, Prof. LLC is 1902110836. It was assigned to this organization in the NPPES registry on August 3, 2010.
Where is Creekside Medical Clinic, Prof. LLC located?
Creekside Medical Clinic, Prof. LLC is located at 2620 Jackson Blvd Suite C, Rapid City, SD 57702. The listed phone number is (605) 341-1208.
What is Creekside Medical Clinic, Prof. LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Creekside Medical Clinic, Prof. LLC enrolled in Medicare?
Yes. Creekside Medical Clinic, Prof. LLC is registered in the Medicare PECOS enrollment system.
When is Creekside Medical Clinic, Prof. 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 December 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 Creekside Medical Clinic, Prof. LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Family Practice, reassign their Medicare billing to Creekside Medical Clinic, Prof. LLC. 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, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Creekside Medical Clinic, Prof. LLC accept?
Health plans from Medica list Creekside Medical Clinic, Prof. LLC 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.
When was this NPI record last updated?
The NPPES record for Creekside Medical Clinic, Prof. LLC was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Creekside Medical Clinic, Prof. Llc · NPI 1902110836
Family Medicine organization in Rapid City, South Dakota. Organization record, active in the CMS NPPES registry since August 3, 2010.
## Identity
- **NPI:** 1902110836 (Entity type: Organization)
- **Enumerated:** August 3, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Nancy Babbitt, OWNER/PHYSICIAN
## Practice location
- **Address:** 2620 JACKSON BLVD, SUITE C, Rapid City, SD 57702-1502
- **Phone:** (605) 341-1208
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, South Dakota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2010
- **Other identifiers:** Medicare UPIN H02552 (SD); Medicaid 5610718 (SD)
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Source: [NPI Profile](https://npiprofile.com/npi/1902110836) · Data from the CMS NPPES public registry.