Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Wadsworth

Individual provider Family Medicine Physician · NPI 1417699919

Blake Wadsworth is a Family Practice in Rapid City, South Dakota. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2022, 4 years ago. Practices with Monument Health Rapid City Hospital Inc, a 561-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
4
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
SD
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2526 Elderberry Blvd
Rapid City, SD 57703
Phone: (605) 755-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 17531 (SD)

Record details

NPI number1417699919
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESJuly 23, 2025
Certification dateJuly 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2022 (4 years in practice)
Group practice Monument Health Rapid City Hospital Inc — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rapid City