Provider Demographics
NPI:1487784666
Name:CHELL, CAROLE ANN (CNP)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:ANN
Last Name:CHELL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:A
Other - Last Name:GEISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1000 E. 23RD ST.
Practice Address - Street 2:STE 230
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2122
Practice Address - Country:US
Practice Address - Phone:605-322-6900
Practice Address - Fax:605-322-6901
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000285363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN228D4CHOtherBLUE CROSS
MN228D4CHOtherCC SYSTEMS/ BLUE CROSS
SD370624200OtherDEPT OF LABOR
SD9246677OtherDAKOTACARE
SDHP82929OtherHEALTHPARTNERS
SDR021172OtherSD LICENSE, RN
SD1487784666OtherARAZ/ AMERICA'S PPO
407191053721OtherPREFERRED ONE
SD252900OtherMIDLANDS CHOICE
NE46022474336Medicaid
SD57105V009OtherWPS TRICARE
SD4993248OtherBLUE CROSS
MN92411422903OtherPRIMEWEST
MN406957000Medicaid
IA2731976Medicaid
SDCP000285OtherSD LICENSE, CNP
SD9246677OtherDAKOTACARE