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

Matthew Davalos

Individual provider Family Nurse Practitioner · NPI 1043189277

Matthew Davalos is a Nurse Practitioner in Rapid City, South Dakota. Qualified in 2025, 1 year ago. Practices with Black Hills Surgical Hospital LLC, a 169-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
1
Licensed in
SD
In the registry since
2025
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Practice location Address checks out

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone: (605) 721-4700
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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 CP003907 (SD)

Record details

NPI number1043189277
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Black Hills Surgical Hospital Llc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Black Hills Surgical Hospital LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 169 clinicians in the practice; 12 are shown here.

Other providers in Rapid City