Jarod Myer, FNP-C
Individual provider Active NPI Family Medicine Physician · Wagner, SD
NPI 1104517796 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1104517796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- CP002793 (SD)
- Practice address
- 513 3Rd St SW
Wagner, SD 57380-9675 - Phone
- (605) 384-3611
- NPI assigned
- May 16, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wagner Community Memorial Hospital
Practice addresses (Care Compare)
513 3Rd St SW
Wagner, SD 57380-9675
Phone (605) 384-3418
Hospital & facility affiliations
- Wagner Community Memorial Hospital - Cah
- Sanford Vermillion Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.55 of 100
- Quality
- 66.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 45.26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230620002503 | SD | Practitioner - Nurse Practitioner | 9436517604 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP002793 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current |
Accepting new patients | |
| Wagner Community Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Sanford Health Network | Family Medicine | Current |
Accepting new patients |
| Sanford Health Network | Current |
Accepting new patients | |
| Wagner Community Memorial Hospital | Current |
Accepting new patients |
Locations
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CP002793 | SD | Yes |
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
Other providers in Wagner, SD
- Susan Grace Knudsen
- Ryan Kocer
- Mikaela Jean Koenig
- Tammy L Laroche
- Lisa R Miller
- Lindsey Nedved
- Cassie Lynn Nelson
- Amanda Neyhart
- Craig A Noteboom
- Jennifer Noteboom
All providers in Wagner, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.