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

Vanessa Kudlock, NP

Individual provider Nurse Practitioner · NPI 1033752258

Vanessa Kudlock, NP is a Nurse Practitioner in Belle Fourche, South Dakota. Qualified in 2019, 7 years ago. Works from 5 locations and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
7
Licensed in
SD
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2398 5th Ave Ste 101
Belle Fourche, SD 57717-2340
Phone: (605) 568-0191
Fax: (605) 568-0195
Show map & directions

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

Additional practice locations (4)

  • 26750 S Santa Fe Rd, Congress, AZ 85332 — (928) 668-1833
  • 520 Rose Ln, Wickenburg, AZ 85390-1447 — (928) 668-1833
  • 523 Rose Ln, Wickenburg, AZ 85390-1448 — (928) 668-1833
  • 32919 N Center St, Wittmann, AZ 85361-9433 — (928) 668-1833

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CP001659 (SD)

Record details

NPI number1033752258
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESMay 7, 2024
Certification dateApril 26, 2024
Mailing address2398 5th Ave Ste 101, Belle Fourche, SD 57717-2340

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Belle Fourche