REBECCA JO MOKE NP NPI 1083809206

NPI Information

NPI: 1083809206
Provider Name: REBECCA JO MOKE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
756 E LAKE STR
LAKE ANDES, SD
ZIP 57356
Phone: (605) 487-7878
Get Directions

Rebecca Jo Moke, NP is a family nurse practitioner in Lake Andes, SD with 17 years of experience. Rebecca Jo Moke, NP NPI is 1083809206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

756 E LAKE STR
LAKE ANDES, SD
ZIP 57356-279
Phone: (605) 487-7878
Fax: (605) 487-9566

The NPI 1083809206 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 8/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	CP000512	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CP000512	OTHER	SOUTH DAKOTA	NURSE PRACTITIONER
2	S102182	MEDICARE PIN	SOUTH DAKOTA
3	S102183	MEDICARE PIN	SOUTH DAKOTA
4	6829710	MEDICAID	SOUTH DAKOTA
5	4992778	OTHER	SOUTH DAKOTA	WELLMARK LAKE ANDES
6	9251967	OTHER	SOUTH DAKOTA	DAKOTACARE
7	4992777	OTHER	SOUTH DAKOTA	WELLMARK PARKSTON
8	6829712	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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