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

Individual provider Registered Nurse · NPI 1487008686

Shelly Rae Tibke, CNP is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2015, 11 years ago. Practices with Surgical Institute of South Dakota PC, a 22-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
11
Licensed in
SD
In the registry since
2016
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

911 E 20th St Ste 700
Sioux Falls, SD 57105-1049
Phone: (605) 334-0393
Fax: (605) 334-0393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CP001053 (SD)
Registered Nurse Taxonomy 163W00000X · Licence R020920 (SD)

Record details

NPI number1487008686
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedApril 14, 2016
Last updated in NPPESJune 6, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Surgical Institute Of South Dakota Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sioux Falls