NPIMap

Individual provider Active NPI

Maricia Joy Pronk, PA-C

  • Physician Assistant
  • Pipestone, MN
National Provider Identifier
1194122713
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11748 Issued in MN
Practice address
916 4TH Ave SW
Pipestone, MN 56164-1890
Phone
(507) 825-5811
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11748 MN Primary

Addresses

Primary practice location

916 4TH Ave SW
Pipestone, MN 56164-1890

Mailing address

916 4TH Ave SW
Pipestone, MN 56164-1890
Phone (507) 825-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150302001138 MN Practitioner - Physician Assistant 9335465715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pipestone County Medical CenterGroup PAC ID 0840109682, 33 clinicians

Practice addresses (Care Compare)

303 N 5TH Ave
Edgerton, MN 56128-1297
Phone (507) 442-5424

916 4TH Ave SW
Pipestone, MN 56164-1890
Phone (507) 825-5811

916 SW 4TH Ave
Pipestone, MN 56164-1890
Phone (507) 825-5811

Hospital & facility affiliations

  • Avera@Home Pipestone Home health agency, Pipestone, MN, CCN 247049
  • Pipestone County Medical Center Hospital, Pipestone, MN, CCN 241374
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2188MNMDAthletic Trainer
11748MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pipestone County Medical Center CurrentSince Dec 15, 2014 Accepting new patients
Pipestone County Medical Center Avera CurrentSince Dec 15, 2014 Accepting new patients
Pipestone County Medical Center CurrentSince Dec 31, 2025 Accepting new patients

Locations

303 5th Ave N
Edgerton, MN 56128
Phone (507) 442-5424

920 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-3390

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

Interoperability endpoints

  • Direct secure messaging: maricia.pronk@avera.sdhealthlink.net

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1194122713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641890",
            "telephone_number": "507-825-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641890",
            "telephone_number": "507-825-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRONK",
        "first_name": "MARICIA",
        "middle_name": "JOY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pipestone, MN

Sources for this page

Verify at the official NPI Registry.