Tri State Medical Center PLLC
NPI 1073390944 · Nurse Practitioner · Belle Fourche, SD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tri State Medical Center PLLC is a Nurse Practitioner organization in Belle Fourche, SD (NPI 1073390944).
Provider details
- NPI number
- 1073390944
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Vanessa Kudlock, Owner(605) 568-0191
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Tri State Medical Center PLLC
- Former legal business name
- Tri State Medical Center PLLC
Registry dates
- Enumerated
- 2023-09-13
- Last updated
- 2024-01-11
- Certified
- 2024-01-11
Frequently asked questions
- What is Tri State Medical Center PLLC's NPI number?
- Tri State Medical Center PLLC's National Provider Identifier (NPI) is 1073390944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri State Medical Center PLLC?
- Tri State Medical Center PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tri State Medical Center PLLC located?
- Tri State Medical Center PLLC's practice location on file with NPPES is 2398 5th Ave Ste 101, Belle Fourche, SD 57717-2340.
- What is Tri State Medical Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tri State Medical Center PLLC is (605) 645-2064.
- Does Tri State Medical Center PLLC accept Medicare?
- Tri State Medical Center PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tri State Medical Center PLLC?
- The authorized official listed on Tri State Medical Center PLLC's NPPES record is Vanessa Kudlock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri State Medical Center PLLC's NPI active?
- Yes — Tri State Medical Center PLLC's NPI (1073390944) is active in the NPPES registry as of the last update on 2024-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.