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

Nicholas Rene Alonzo, PA-C

Individual provider Physician Assistant · NPI 1285911412

Nicholas Rene Alonzo, PA-C is a Physician Assistant in Rapid City, South Dakota. Qualified in 2011, 15 years ago. Practices with Black Hills Surgical Hospital LLC, a 169-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and South Dakota.

Years since qualifying
15
Licensed in
CA, SD
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7220 Mount Rushmore Rd
Rapid City, SD 57702-8754
Phone: (605) 341-1414
Show map & directions

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

Additional practice locations (2)

  • 81 Highland Springs Ave Ste 103, Beaumont, CA 92223-3170 — (951) 846-0313
  • 341 Magnolia Ave, Corona, CA 92879-3330 — (951) 735-6060

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1250 (SD)
Physician Assistant Taxonomy 363A00000X · Licence PA21995 (CA)

Record details

NPI number1285911412
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2011
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Black Hills Surgical Hospital Llc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Rapid City