Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kaitlan Elise Brosnahan, CNP

Individual provider Nurse Practitioner · NPI 1639766843

Mrs. Kaitlan Elise Brosnahan, CNP is a Nurse Practitioner in Rapid City, South Dakota. Qualified in 2020, 6 years ago. Practices with Great Plains Tribal Chairmen's Health Board, a 66-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
6
Licensed in
SD
In the registry since
2020
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone: (605) 755-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CP001914 (SD)

Record details

NPI number1639766843
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Great Plains Tribal Chairmen'S Health Board — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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