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NPI · 1710758065 · NPPES-sourced

Bailee Blickensderfer PA-C

ActiveSurgical Physician Assistant
NPI Number
1710758065
Type 1 · Individual
Taxonomy Code
363AS0400X
Contact
(605) 755-6100
Primary practice line
Last Updated
Enumerated
Primary practice addressSD · 57702-8529
1635 Caregiver CirRapid City, SD 57702-8529
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About this NPIWhat this record shows.

NPI 1710758065 is registered to Bailee Blickensderfer PA-C, a Surgical Physician Assistant practising at 1635 Caregiver Cir in Rapid City, South Dakota. Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Bailee Blickensderfer PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2024.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Bailee Blickensderfer PA-C accepts. To confirm in-network status with your specific health plan, contact Bailee Blickensderfer PA-C directly at (605) 755-6100.

Frequently asked

Yes. NPI 1710758065 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (605) 755-6100.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Bailee Blickensderfer PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AS0400X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Surgical Physician Assistant providers in South Dakota.

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