CARLEIGH R BELUSH PNP
NPI 1336815034
Nurse Practitioner - Pediatrics in Sioux Falls, SD
NPI Status: Active since August 21, 2021
Contact Information
2601 S ELLIS RD
SIOUX FALLS, SD
ZIP 57106
Phone: (605) 312-3000
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About CARLEIGH BELUSH
This page provides the complete NPI Profile along with additional information for Carleigh Belush, a provider established in Sioux Falls, South Dakota with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1336815034 assigned on August 2021. The practitioner's primary taxonomy code is 363LP0200X with license number 11014884 (FL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1336815034
- Provider Name
- CARLEIGH R BELUSH PNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2601 S ELLIS RD SIOUX FALLS, SD 57106
- Location Phone
- (605) 312-3000
- Mailing Address
- PO BOX 5074 SIOUX FALLS, SD 57117
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-21-2021
- Last Update Date
- 12-07-2023
- Code Navigator
A nurse practitioner (NP) like Carleigh Belush is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 6261 Camino Dr
Apollo Beach, FL 33572
(443) 850-3028
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 11014884
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Carleigh Belush is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 57106 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.21
- Minimum New Patient Price $55.52
- Maximum New Patient Price $167.23
- Average New Patient Copayment $21.3
- Minimum New Patient Copayment $13.88
- Maximum New Patient Copayment $41.8
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.88
- Minimum Established Patient Price $18.08
- Maximum Established Patient Price $137.08
- Average Established Patient Copayment $24.47
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.27
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for CARLEIGH R BELUSH PNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 8 | 1 | 5 | 0 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 16 | 1 | 10 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 6 + 1 + 1 + 0 + 0 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1336815034 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396037180 | MR. DUSTIN KEITH LETCHER PA-C Individual | Physician Assistant | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1881956811 | DAWN RENEA ECKHOFF CSW-PIP Individual | Social Worker (Clinical) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1235518861 | DR. BIANCA JOHNSON MD Individual | Pediatrics | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1902303530 | KRISTIN STUIVE DO Individual | Pediatrics | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1063983898 | JILL MARIE MELBY CNP Individual | Nurse Practitioner (Family) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 328-9600 |
| 1649940727 | ERIC DEAN CURTIS APRN, CNP Individual | Nurse Practitioner (Family) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1568050862 | DR. AMY ALLYN CLAY CNP,DNP Individual | Nurse Practitioner (Family) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1598745994 | AARON J TRYGSTAD M.D. Individual | Family Medicine | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-7000 |
| 1003306994 | LIEN LIEVE SWIERINGA NP Individual | Nurse Practitioner (Women's Health) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1124620448 | DR. SARAH MARIE MENKING APRN Individual | Nurse Practitioner (Pediatrics) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1952017295 | CAITLIN BOLTE PA-C Individual | Physician Assistant | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 332-2883 |
| 1023709227 | SANFORD VIRTUAL CARE Organization | Clinic/Center (Multi-Specialty) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 332-2883 |
| 1417330879 | NICHOLE R KRIER APRN-CNP Individual | Nurse Practitioner (Family) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 332-2883 |
| 1396416244 | STEPHANIE ANN RUST APRN-NP, DNP Individual | Nurse Practitioner (Pediatrics) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1801450317 | NICOLE BUCHELE Individual | Obstetrics & Gynecology | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1386178846 | BROOKE JENSEN M.D. Individual | Family Medicine | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 332-2883 |
| 1376252635 | MARIAH ANN BAIER PA-C Individual | Physician Assistant | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 332-2883 |
| 1821564451 | ANDREA JO MEYER CNP Individual | Nurse Practitioner (Family) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1093297061 | SUSAN DINSMORE MA, LMFT Individual | Marriage & Family Therapist | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 312-3000 |
| 1962939231 | THERESA MICHELLE NEWCOMB APRN-NP Individual | Nurse Practitioner (Family) | 2601 S ELLIS RD SIOUX FALLS, SD 57106 (605) 332-2883 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336815034, enumerated in the NPI registry as an "individual" on August 21, 2021
The provider is located at 2601 S Ellis Rd Sioux Falls, Sd 57106 and the phone number is (605) 312-3000
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics
The provider might be accepting Accepts: Medica, Sanford Health Plan, Wellmark Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.21 with an average copayment of $21.3 for new patient appointments. Established patients should expect a typical charge of $97.88 and an average copayment of 24.47. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 21, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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