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

Ryan Frederick Poppe, RN

Individual provider Registered Nurse · NPI 1053806455

Ryan Frederick Poppe, RN is a Nurse Practitioner in Watertown, South Dakota. Qualified in 2018, 8 years ago. Practices with Acute Care Surgery of South Dakota PC, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
8
Licensed in
SD
In the registry since
2018
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1056 29th St SE
Watertown, SD 57201-9120
Phone: (605) 753-0960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Billars St, Scotland, SD 57059 — (605) 583-2226

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CP001399 (SD)
Registered Nurse Taxonomy 163W00000X · Licence R036441 (SD)
Nurse Practitioner Taxonomy 363L00000X · Licence CP001399 (SD)

Record details

NPI number1053806455
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address600 Billars St, Scotland, SD 57059-2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Acute Care Surgery Of South Dakota Pc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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