Emily Michelle Geraets
Individual provider Active NPI Physician Assistant · Sioux Falls, SD
NPI 1205579554 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1205579554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1492 (SD)
- Practice address
- 1301 W 18TH St
Sioux Falls, SD 57105-0401 - Phone
- (515) 271-1569
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
Hospital & facility affiliations
- Sanford Usd Medical Center
- Sanford Canby Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in SD, IA, MN
- 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 |
|---|---|---|---|---|
| I20240618001243 | SD | Practitioner - Physician Assistant | 8527501642 | Reassigns benefits to 2 organizations |
| I20250109002675 | IA | Practitioner - Physician Assistant | 8527501642 | Reassigns benefits to 1 organization |
| I20250110001889 | MN | Practitioner - Physician Assistant | 8527501642 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15007 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Medical Center | Current |
Accepting new patients | |
| Sanford Medical Center | Physician Assistant | Current |
Accepting new patients |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Locations
1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476
450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100
1680 Diagonal Rd
Worthington, MN 56187
Phone (507) 372-3800
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
1301 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-2100
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 1492 | SD | Yes |
Addresses
Primary practice location
1301 W 18TH St
Sioux Falls, SD 57105-0401
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 312-2200
NPI Registry JSON
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1205579554",
"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",
"telephone_number": "605-312-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 18TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050401",
"telephone_number": "515-271-1569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERAETS",
"first_name": "EMILY",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-14",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "1492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
- Kelsey George
- Louis Theodore George
- Orlando George
- Oleg P Georgiev
- Ashley Marie Geppert
- Justin Joseph Geraets
- Kathy Geraets
- Ryan Dale Geraets
- Ryan Lowell Geraets
- Leigh Gerdes
All providers in Sioux Falls, SD · Physician Assistant 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 Jun 4, 2024. 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.