Katie Tetzlaff, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

400 22ND Ave
Brookings, SD 57006-2450

Phone

(605) 697-9500

NPI assigned

Aug 23, 2016

Last updated

Jul 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of BrookingsGroup PAC ID 1052307105, 112 clinicians

Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brookings Health System Hospital, Brookings, SD, CCN 430008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie.tetzlaff@avera.sdhealthlink.net

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.

• Rural Health Care, Inc.

  dba Access Health - Murdo

  • Federally Qualified Health Center (FQHC)
  • Murdo, SD
  • NPI 1720076441
  Medicare reassignment Care Compare group NPD (past)
• City of Brookings

  dba Brookings Health System

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029
  Medicare reassignment Care Compare group
• City of Brookings

  dba Avera Medical Group a Department of Brookings Health System

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1134558158
  NPD
• City of Brookings

  dba Brookings Health System Arlington Medical Center

  • Rural Health Clinic/Center
  • Arlington, SD
  • NPI 1902123581
  NPD
• City of Brookings

  dba Avera Medical Group Specialty Care Brookings a Department of Brookings

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1982057246
  NPD
• Rural Health Care, Inc

  dba Access Health - Brookings

  • Federally Qualified Health Center (FQHC)
  • Brookings, SD
  • NPI 1386254191
  NPD
• Rural Health Care, Inc

  dba Access Health Marshall

  • Federally Qualified Health Center (FQHC)
  • Marshall, MN
  • NPI 1740944602
  NPD
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• Sanford Health Network

  dba Sanford Health Adrian Clinic

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1679859912
  NPD
• Avera McKennan

  dba Avera Medical Group Brookings

  • General Practice Physician
  • Brookings, SD
  • NPI 1912936535
  NPD (past)

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

• City of Brookings

  dba Avera Medical Group a Department of Brookings Health System

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1134558158

  Hospital

  Care Compare affiliation
• City of Brookings

  dba Brookings Health System

  • General Acute Care Hospital
  • Brookings, SD
  • NPI 1275515579
  Care Compare affiliation
• City of Brookings

  dba Brookings Health System

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029

  Hospital

  Care Compare affiliation
• City of Brookings

  dba Avera Medical Group Specialty Care Brookings a Department of Brookings

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1982057246

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1104371897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062450",
            "telephone_number": "605-697-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETZLAFF",
        "first_name": "KATIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1294",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Brookings, SD
• Providers in Brookings, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.