NPIMap

Individual provider Active NPI

Leah Ayn Mergen, PA-C

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1023389392
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0799 Issued in SD
Practice address
521 N Main Ave Ste 100
Sioux Falls, SD 57104-5947
Phone
(605) 367-8214
NPI assigned
Jan 19, 2012
Last updated
Aug 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0799 SD Primary

Addresses

Primary practice location

521 N Main Ave Ste 100
Sioux Falls, SD 57104-5947

Mailing address

521 N Main Ave Ste 100
Sioux Falls, SD 57104-5947
Phone (605) 367-8793

Other identifiers 2

IdentifierTypeStateIssuer
6837110MedicaidSD
6837112MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120407000013 SD Practitioner - Physician Assistant 8123289725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

1910 W 69TH St
Sioux Falls, SD 57108-5612
Phone (605) 322-5200

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (605) 322-5180

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0799SDMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Oct 9, 2017 Accepting new patients
Avera McKennan Physician Assistant CurrentSince Oct 9, 2017 Accepting new patients
City of Sioux Falls CurrentSince Aug 24, 2015 Accepting new patients
City of Sioux Falls CurrentSince Aug 24, 2015 Accepting new patients

Locations

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920

521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029

Organizations & group practices 6

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

  • Avera McKennan

    dba Avera McKennan Behavioral Health Clinic

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Sioux Falls, SD
    • NPI 1699009944
    Medicare reassignment Care Compare group
  • City of Sioux Falls

    dba Falls Community Health

    • Federally Qualified Health Center (FQHC)
    • Sioux Falls, SD
    • NPI 1932295888
    Medicare reassignment
  • Avera McKennan

    dba Avera Interventional Radiology

    • Diagnostic Radiology Physician
    • Sioux Falls, SD
    • NPI 1053680678
    NPD
  • Avera McKennan

    dba Avera Medical Group

    • Family Medicine Physician
    • Sioux Falls, SD
    • NPI 1376575514

    Physician Assistant

    NPD
  • City of Sioux Falls

    dba FCH School Based Health Services/Hayward

    • Federally Qualified Health Center (FQHC)
    • Sioux Falls, SD
    • NPI 1508103243
    NPD
  • City of Sioux Falls

    dba FCH School Based Health Services/Terry Redlin

    • Federally Qualified Health Center (FQHC)
    • Sioux Falls, SD
    • NPI 1902130818
    NPD

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1023389392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045947",
            "telephone_number": "605-367-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045947",
            "telephone_number": "605-367-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGEN",
        "first_name": "LEAH",
        "middle_name": "AYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6837110",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6837112",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.