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

Gideon Thomas Carlisle

Individual provider Family Medicine Physician · NPI 1700754165

Gideon Thomas Carlisle is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2025, 1 year ago. Practices with Sanford Medical Center, a 842-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
1
Licensed in
SD
In the registry since
2025
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Practice location Address checks out

1310 W 22nd St
Sioux Falls, SD 57105-1501
Phone: (605) 328-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence CP003886 (SD)

Record details

NPI number1700754165
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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