Individual provider Active NPI

Kayla Ann Frank, PA-C

  • Physician Assistant
  • Minneapolis, MN
National Provider Identifier
1295150233
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1934 Issued in NE
Practice address
4209 Webber Pkwy
Minneapolis, MN 55412
Phone
(637) 581-5750
Fax
(763) 581-5751
NPI assigned
Feb 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0914 SD
Physician Assistant 363A00000X 1934 NE Primary

Addresses

Primary practice location

4209 Webber Pkwy
Minneapolis, MN 55412

Mailing address

4209 Webber Pkwy
Minneapolis, MN 55412-1747
Phone (637) 581-5750

Other practice location 1

2915 Grant St
Omaha, NE 68111-3863
Phone (402) 457-9762

Other practice location 2

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5750

Other names 1

  • Kayla Ann Czmowski Former name

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
I20210430002032 SD Practitioner - Physician Assistant 4284867144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1301 S Cliff Ave
Sioux Falls, SD 57105-1023

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

4500 S Prince of Peace PL
Sioux Falls, SD 57103-5830
Phone (605) 322-5600

4513 S Prince of Peace PL
Sioux Falls, SD 57103-5830
Phone (605) 322-5600

6100 S Louise Ave
Sioux Falls, SD 57108-6029

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1934NEMDPhysical Therapist
0914SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Apr 19, 2021 Accepting new patients
Avera McKennan CurrentSince Apr 19, 2021 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients

Locations

1301 S Cliff Ave
Ste 400
Sioux Falls, SD 57105
Phone (605) 322-5750

4400 W 69th St
Ste 3100
Sioux Falls, SD 57108
Phone (605) 504-3522

Interoperability endpoints

  • Direct secure messaging: kayla.czmowski.p1@direct.charlesdrew.nextgenshare.com

Organizations & group practices 5

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1295150233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 WEBBER PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121747",
            "telephone_number": "637-581-5750",
            "fax_number": "763-581-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 WEBBER PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55412",
            "telephone_number": "637-581-5750",
            "fax_number": "763-581-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 Grant St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681113863",
            "country_code": "US",
            "telephone_number": "402-457-9762",
            "fax_number": "402-939-0527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Oakdale Ave N",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222926",
            "country_code": "US",
            "telephone_number": "763-581-5750",
            "fax_number": "763-581-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANK",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0914",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "CZMOWSKI",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.