Dustin Gene Koel, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP003259 Issued in SD

Practice address

1210 W 18TH St Ste 100
Sioux Falls, SD 57104-4650

Phone

(605) 312-8500

NPI assigned

Jul 8, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027
• Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022
• Sioux Falls Specialty Hospital Hospital, Sioux Falls, SD, CCN 430090
• Sanford Sheldon Medical Center Hospital, Sheldon, IA, CCN 161381
• Sanford Luverne Medical Center Hospital, Luverne, MN, CCN 241371

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Sanford Medical Center

  dba Edith Sanford Breast Specialty Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342
  Medicare reassignment Care Compare group NPD

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

• Sanford Medical Center

  dba Sanford USD Medical Center

  • Air Ambulance
  • Sioux Falls, SD
  • NPI 1023299708

  Hospital

  Care Compare affiliation
• Sanford Medical Center

  dba Edith Sanford Breast Specialty Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342

  Hospital

  Care Compare affiliation
• Sanford Medical Center

  dba Sanford USD Medical Center

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1821017880
  Care Compare affiliation
• Sioux Falls Specialty Hospital, LLP

  • Special Hospital
  • Sioux Falls, SD
  • NPI 1316946809
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Luverne Clinic

  • Critical Access Hospital
  • Luverne, MN
  • NPI 1033495379
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Worthington Medical Center

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1396712618
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Luverne Medical Center

  • Critical Access Hospital
  • Luverne, MN
  • NPI 1497703045
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Health Adrian Clinic

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1679859912
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Sheldon Medical Center

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623
  Care Compare affiliation

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1154167252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 18TH ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044650",
            "telephone_number": "605-312-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEL",
        "first_name": "DUSTIN",
        "middle_name": "GENE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard John Koch, D.D.S.
• Brianna Mae Koedam, BSN,RN
• Tyler John Koedam, MD
• Elizabeth Koehler, PHARMD
• Kathryn Jean Koehn, M.P.T.
• Laura C Koel, FNP
• Maria Sebalia Koenen, MD
• Aimee Louise Koenig, M.D.
• Elizabeth Koenig, PHARMD
• Debra Koens

• Family Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.