NPIMap

Individual provider Active NPI

Kayla Allison Tollefsrud, PA-C

  • Physician Assistant
  • Rapid City, SD
National Provider Identifier
1053838268
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1103 Issued in SD
Practice address
2929 5TH St
Rapid City, SD 57701-7363
Phone
(605) 755-4150
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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 1103 SD Primary

Addresses

Primary practice location

2929 5TH St
Rapid City, SD 57701-7363

Mailing address

1570 Shoshone Ave
Spearfish, SD 57783-3034
Phone (605) 210-2729

Other names 1

  • Kayla Allison Jarvi Former name

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
I20171207001929 SD Practitioner - Physician Assistant 8628335130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians

Practice addresses (Care Compare)

1440 N Main St
Spearfish, SD 57783-1505
Phone (605) 644-4000

1445 N Ave
Spearfish, SD 57783-1552
Phone (605) 644-4170

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

677 Cathedral Dr
Suite 310
Rapid City, SD 57701-6018
Phone (605) 755-6720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Jul 20, 2018 Accepting new patients
Monument Health Network, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 8, 2017 Accepting new patients
Monument Health Network, Inc. CurrentSince Jul 20, 2018 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Oct 8, 2017 Accepting new patients
Queen City Regional Medical Clinic Physician Assistant Past Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

4940 5th St
Ste 2B
Rapid City, SD 57701
Phone (605) 716-6390

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

2929 5th St
Rapid City, SD 57701
Phone (605) 342-2852

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

1445 North Ave
Spearfish, SD 57783
Phone (605) 347-2536

Organizations & group practices 9

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1053838268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 SHOSHONE AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833034",
            "telephone_number": "605-210-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017363",
            "telephone_number": "605-755-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEFSRUD",
        "first_name": "KAYLA",
        "middle_name": "ALLISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "JARVI",
            "middle_name": "ALLISON",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.