Active NPI
Kevin Daniel Vaughn, PA-C
- Physician Assistant
- Aberdeen, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0236
- Practice address
- 3015 3Rd Ave SE
Aberdeen, SD 57401-5418 - Phone
- (605) 226-5500
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0236 | SD | |
| Physician Assistant | 363A00000X | 0236 | SD | Primary |
Addresses
Primary practice location
3015 3Rd Ave SE
Aberdeen, SD 57401-5418
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 S Main
Plankinton, SD 57368-0250
Phone (605) 942-7711
215 S Dumont
Woonsocket, SD 57385-0368
Phone (605) 796-4433
506 S Wilson St
Aberdeen, SD 57401-5082
Phone (605) 725-3900
602 1St St NE
Suite 1
Wessington Springs, SD 57382-2163
Phone (605) 539-1778
Hospital & facility affiliations
- Avera Weskota Memorial Medical Center - Cah
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0236 | SD | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Horizon Health Care Inc | Past | Accepting new patients |
Locations
506 S Wilson St
Aberdeen, SD 57401
Phone (605) 725-3900
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
1000 18th St SW
Ste 27
Huron, SD 57350
Phone (605) 554-1015
110 5th Ave
Ipswich, SD 57451
Phone (605) 426-4072
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Plankinton, SD
- NPI 1356459382
-
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
- Federally Qualified Health Center (FQHC)
- Yankton, SD
- NPI 1013445907
-
- Federally Qualified Health Center (FQHC)
- Fort Thompson, SD
- NPI 1225411945
-
- Cardiovascular Disease Physician
- Aberdeen, SD
- NPI 1851682223
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
-
- Federally Qualified Health Center (FQHC)
- Bryant, SD
- NPI 1821102856
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wessington Springs, SD
- NPI 1316942204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1194760215",
"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": "3015 3RD AVE SE",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574015418",
"telephone_number": "605-226-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "KEVIN",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SD",
"license": "0236",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.