Mrs Jirina Fedele, LPN - Licensed Practical Nurse in Rapid City, SD

Mrs Jirina Fedele, LPN is a Licensed Practical Nurse based in Rapid City, South Dakota. Mrs Jirina Fedele is licensed to practice in Georgia (license number 095902) and her current practice location is 3200 Canyon Lake Dr, Rapid City, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 719-4011.

NPI number for Mrs Jirina Fedele is 1497416481 and her current mailing address is 13859 Lh Rd, Fairburn, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497416481.

Contact Information

Mrs Jirina Fedele, LPN
3200 Canyon Lake Dr,
Rapid City, SD 57702-8114
(605) 719-4011
Not Available



Provider's Profile

Full NameMrs Jirina Fedele
GenderFemale
SpecialityLicensed Practical Nurse
Location3200 Canyon Lake Dr, Rapid City, South Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497416481
  • Provider Enumeration Date: 01/03/2022
  • Last Update Date: 01/03/2022

Medical Identifiers

Medical identifiers for Mrs Jirina Fedele such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497416481NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 095902 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jirina Fedele is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jirina Fedele, LPN
13859 Lh Rd,
Fairburn, SD 57738-5040

Ph: (706) 945-4895
Mrs Jirina Fedele, LPN
3200 Canyon Lake Dr,
Rapid City, SD 57702-8114

Ph: (605) 719-4011

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› Verified 2 days ago


Licensed Practical Nurse Nurses in Rapid City, SD

Alicia Mae Thompson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 111 North St, Rapid City, SD 57701
Phone: 605-343-0650    Fax: 605-342-3692
Kathy Hogg,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702
Phone: 605-355-2500    
Pauline A Larvie, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702
Phone: 605-355-2500    Fax: 605-355-2512
Stacey Boyd, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702
Phone: 605-355-2500    Fax: 605-355-2512
Diane Marie Opbroek, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 111 North St, Rapid City, SD 57701
Phone: 605-343-0650    Fax: 605-342-3692
Sydny Koryn Nash-fenner, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702
Phone: 605-355-2500    
Kristin Ray,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702
Phone: 605-355-2500    

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