Mrs Kellie R Thiessen, CNM,MS - Advanced Practice Midwife in Pine Ridge, SD

Mrs Kellie R Thiessen, CNM,MS is a Advanced Practice Midwife based in Pine Ridge, South Dakota. Mrs Kellie R Thiessen is licensed to practice in * (Not Available) (license number ) and her current practice location is 1201 E. Hwy 18, Pine Ridge, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 867-3003.

NPI number for Mrs Kellie R Thiessen is 1346213758 and her current mailing address is Po Box 3055, Pine Ridge, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346213758.

Contact Information

Mrs Kellie R Thiessen, CNM,MS
1201 E. Hwy 18,
Pine Ridge, SD 57770
(605) 867-3003
Not Available



Provider's Profile

Full NameMrs Kellie R Thiessen
GenderFemale
SpecialityAdvanced Practice Midwife
Location1201 E. Hwy 18, Pine Ridge, South Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346213758
  • Provider Enumeration Date: 02/08/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kellie R Thiessen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346213758NPI-NPPES
036OtherSDCERTIFIED NURSE MIDWIFE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife (* (Not Available))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 Kellie R Thiessen 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 Kellie R Thiessen, CNM,MS
Po Box 3055,
Pine Ridge, SD 57770-3055

Ph: (605) 867-2052
Mrs Kellie R Thiessen, CNM,MS
1201 E. Hwy 18,
Pine Ridge, SD 57770

Ph: (605) 867-3003

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› Verified 1 days ago


Advanced Practice Midwife Nurses in Pine Ridge, SD

Ms. Barbara Mellor, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1201 E Hwy 18, Pine Ridge Hospital, Pine Ridge, SD 57770
Phone: 605-867-3003    
Shannon Wolfinbarger, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1201 E. Hwy 18, Pine Ridge, SD 57770
Phone: 605-867-3003    Fax: 605-867-3305
Barbara Gale Hosei, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1201 East Highway 18, Pine Ridge, SD 57770
Phone: 605-867-3003    Fax: 605-867-3305

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