Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikaela Theobald, PA-C

Individual provider Physician Assistant · NPI 1124627898

Mikaela Theobald, PA-C is a Physician Assistant in Rapid City, South Dakota. Qualified in 2020, 6 years ago. Practices with Monument Health Rapid City Hospital Inc, a 561-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone: (605) 755-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 353 Fairmont Blvd, Rapid City, SD 57701-7375 — (605) 755-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124627898
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Monument Health Rapid City Hospital Inc — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Rapid City