Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stacy Kristin Kotalik, CNP

Individual provider Family Nurse Practitioner · NPI 1164967774

Dr. Stacy Kristin Kotalik, CNP is a Nurse Practitioner in Yankton, South Dakota. Qualified in 2016, 10 years ago. Practices with Sacred Heart Health Services, a 147-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
10
Licensed in
SD
In the registry since
2017
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

409 Summit St Ste 2500
Yankton, SD 57078-3739
Phone: (605) 655-1710
Fax: (605) 655-1711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1104 W 8th St, Yankton, SD 57078-3306 — (605) 665-7841

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CP001147 (SD)

Record details

NPI number1164967774
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJanuary 5, 2017
Last updated in NPPESNovember 30, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sacred Heart Health Services — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Yankton