NPIMap

Individual provider Active NPI

Kyla Beth Feickert, PA-C

  • Physician Assistant
  • Huron, SD
National Provider Identifier
1316285471
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0851 Issued in SD
Practice address
33 3Rd St SE
Suite 201
Huron, SD 57350-2063
Phone
(605) 554-0858
Fax
(605) 610-4063
NPI assigned
Jan 24, 2013
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 0851 SD Primary

Addresses

Primary practice location

33 3Rd St SE
Suite 201
Huron, SD 57350-2063

Mailing address

3025 Jolly LN
Rapid City, SD 57703-6063
Phone (605) 391-7823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130412000474 SD Practitioner - Physician Assistant 3173769379 Reassigns benefits to 3 organizations
I20131206001292 TX Practitioner - Physician Assistant 3173769379 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, shared by 19 NPIs, 55 clinicians
Eagle Butte Indian Health Service HospitalGroup PAC ID 7517852759, 42 clinicians

Practice addresses (Care Compare)

109 Pugh St
Martin, SD 57551-7700
Phone (605) 685-6868

24276 166TH Airport Rd
Eagle Butte, SD 57625-1022
Phone 60596477240515

301 4TH St
White River, SD 57579-0281
Phone (605) 259-3121

506 S Wilson St
Aberdeen, SD 57401-5082
Phone (605) 725-3900

602 1St St NE
Wessington Springs, SD 57382-2163
Phone (605) 539-1778

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0851SDMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Horizon Health Care Inc CurrentSince Jun 3, 2024 Accepting new patients
Horizon Health Care Inc. CurrentSince Jun 3, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Nov 6, 2019 Accepting new patients
City of Sioux Falls CurrentSince Mar 14, 2013 Accepting new patients
Rural Health Care, Inc. CurrentSince May 1, 2014 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 29, 2016 Accepting new patients
City of Sioux Falls CurrentSince Mar 14, 2013 Accepting new patients
Horizon Health Care Inc Past Accepting new patients
Horizon Health Care, Inc Past Accepting new patients

Locations

521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

301 4TH St
Mellette Cnty Comm
White River, SD 57579
Phone (605) 259-3121

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIHAD

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1316285471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 JOLLY LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577036063",
            "telephone_number": "605-391-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 3RD ST SE",
            "address_2": "SUITE 201",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502063",
            "telephone_number": "605-554-0858",
            "fax_number": "605-610-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEICKERT",
        "first_name": "KYLA",
        "middle_name": "BETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.