Unknown Individual – Family Nurse Practitioner, NPI 1265760102
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
916 4TH AVE SW
PIPESTONE, MN 561641890
Phone: (605) 334-0393
Fax: (605) 334-6028
Type: Location
Plaza 4, 911, East 20th Street, Sioux Falls, Sioux Falls Township, Minnehaha County, South Dakota, 57105, United States
STE. 700
SIOUX FALLS, SD 571051049
Phone: (605) 334-0393
Fax: (605) 334-6028
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $236.
Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.
Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($55).
Total Amount
$236
General + Research + Ownership
Payments
10
Total payment records
General Amount
$236
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-22
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100916001193 | I | Nurse Practitioner | SD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 35 | 26 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 22 | 22 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 20 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 15 | 15 | $0 |
Insurance plans in this area (ZIP 56164)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | SD | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | SD | |
| - | SD | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | SD | |
| General Surgery | SD | |
| Nurse Practitioner | SD | |
| Physician Assistant | SD | |
| General Surgery | SD |
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