Individual provider Active NPI

Jarod Myer, FNP-C

  • Family Medicine Physician
  • Wagner, SD
National Provider Identifier
1104517796
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CP002793 Issued in SD
Practice address
513 3Rd St SW
Wagner, SD 57380-9675
Phone
(605) 384-3611
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CP002793 SD Primary

Addresses

Primary practice location

513 3Rd St SW
Wagner, SD 57380-9675

Mailing address

30006 406TH Ave
Avon, SD 57315-5404
Phone (605) 660-5996

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
I20230620002503 SD Practitioner - Nurse Practitioner 9436517604 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagner Community Memorial HospitalGroup PAC ID 3577459700, shared by 3 NPIs, 17 clinicians

Practice addresses (Care Compare)

513 3Rd St SW
Wagner, SD 57380-9675
Phone (605) 384-3418

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.55 of 100Reported as group
Quality
66.54
Promoting interoperability
100
Improvement activities
40
Cost
45.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Family Medicine CurrentSince Mar 22, 2025 Accepting new patients
Wagner Community Memorial Hospital CurrentSince Nov 27, 2025 Accepting new patients
Sanford Health Network CurrentSince Mar 22, 2025 Accepting new patients
Wagner Community Memorial Hospital CurrentSince May 16, 2023 Accepting new patients
Wagner Community Memorial Hospital Family Medicine CurrentSince May 16, 2023 Accepting new patients
Sanford Health Network Current Accepting new patients

Locations

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

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.

Hospital & facility affiliations 4

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1104517796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30006 406TH AVE",
            "city": "AVON",
            "state": "SD",
            "postal_code": "573155404",
            "telephone_number": "605-660-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 3RD ST SW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573809675",
            "telephone_number": "605-384-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYER",
        "first_name": "JAROD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "CP002793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagner, SD

Sources for this page

Verify at the official NPI Registry.