Individual provider Active NPI

Tanya L Truckenmiller, PA-C

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1013107580
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0687 Issued in SD
Practice address
911 E 20TH St Ste 505
Sioux Falls, SD 57105-1047
Phone
(605) 322-7250
Fax
(605) 322-7251
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1335 NE
Physician Assistant 363A00000X 0687 SD Primary

Addresses

Primary practice location

911 E 20TH St Ste 505
Sioux Falls, SD 57105-1047

Mailing address

PO Box 5126
Sioux Falls, SD 57117-5126
Phone (605) 335-1952

Other identifiers 2

IdentifierTypeStateIssuer
P00700560OtherSDRAILROAD MEDICARE
6830640MedicaidSD

Other names 1

  • Miss Tanya L Kleinschmit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081003000229 SD Practitioner - Physician Assistant 2668540634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Geriatrics LLCGroup PAC ID 4082027867, 3 clinicians

Practice addresses (Care Compare)

135 Ponderosa Ave
Hill City, SD 57745-6057
Phone (605) 394-2118

Hospital & facility affiliations

  • Avera @ Home Home health agency, Sioux Falls, SD, CCN 437084
  • Hegg Home Health Care Home health agency, Rock Valley, IA, CCN 167236
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027
  • Hawarden Regional Healthcare Hospital, Hawarden, IA, CCN 161311
  • Sanford Canton-Inwood Medical Center - Cah Hospital, Canton, SD, CCN 431333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1335NEMDPhysical Therapist
0687SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Falls Treatment Center, LLC CurrentSince Apr 4, 2025 Accepting new patients
Infectious Disease Specialists PC Past Accepting new patients
Wound Cure Specialists PastSince Feb 19, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ttruckenmiller@gpgl-sd.direct.office.nextgen.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1013107580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5126",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175126",
            "telephone_number": "605-335-1952",
            "fax_number": "605-373-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST STE 505",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051047",
            "telephone_number": "605-322-7250",
            "fax_number": "605-322-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUCKENMILLER",
        "first_name": "TANYA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1335",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00700560",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6830640",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "KLEINSCHMIT",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.