Individual provider Active NPI

Stephanie Lyn Dargatz, FNP

  • Adult Medicine Physician
  • Waubay, SD
National Provider Identifier
1124789540
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
CP002257 Issued in SD
Practice address
80 N Main St
Waubay, SD 57273-1901
Phone
(605) 947-3422
Fax
(605) 947-3423
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X CP002257 SD Primary

Addresses

Primary practice location

80 N Main St
Waubay, SD 57273-1901

Mailing address

80 N Main St
Waubay, SD 57273-1901
Phone (605) 947-3422

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
I20220209002798 SD Practitioner - Nurse Practitioner 4981097201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

301 Flynn Dr
Milbank, SD 57252-1508
Phone (605) 432-4587

Hospital & facility affiliations

  • Milbank Area Hospital/Avera Health Hospital, Milbank, SD, CCN 431326
  • Sanford Hospital Webster - Cah Hospital, Webster, SD, CCN 431311
  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jan 24, 2022 Accepting new patients
Avera McKennan CurrentSince Jan 24, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients

Locations

301 Flynn Dr
Milbank, SD 57252
Phone (605) 432-4587

Organizations & group practices 4

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 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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1124789540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N MAIN ST",
            "city": "WAUBAY",
            "state": "SD",
            "postal_code": "572731901",
            "telephone_number": "605-947-3422",
            "fax_number": "605-947-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N MAIN ST",
            "city": "WAUBAY",
            "state": "SD",
            "postal_code": "572731901",
            "telephone_number": "605-947-3422",
            "fax_number": "605-947-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARGATZ",
        "first_name": "STEPHANIE",
        "middle_name": "LYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "SD",
            "license": "CP002257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waubay, SD

Sources for this page

Verify at the official NPI Registry.