Jacob Paul Prunuske, MD, MSPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17034 Issued in SD

Practice address

1115 E 20TH St
Sioux Falls, SD 57105-1013

Phone

(605) 339-1783

NPI assigned

Apr 21, 2006

Last updated

Jun 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, SD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

University of Wisconsin School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Family MedicineGroup PAC ID 2769478429, 16 clinicians

City of Sioux FallsGroup PAC ID 7810943859, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.56 of 100Reported as group

Quality

87.43

Promoting interoperability

100

Improvement activities

40

Cost

78.24

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Family Medicine

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1164493672
  Medicare reassignment Care Compare group NPD
• City of Sioux Falls

  dba Falls Community Health

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1932295888
  Medicare reassignment Care Compare group NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086
  Medicare reassignment
• City of Sioux Falls

  dba FCH School Based Health Services/Hayward

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1508103243
  NPD
• Aspirus Wausau Hospital, Inc.

  dba Aspirus Wausau Hospital Hospitalists

  • Clinic/Center
  • Wausau, WI
  • NPI 1922321140
  NPD
• University Primary Care Sports Med

  • Sports Medicine (Family Medicine) Physician
  • Salt Lake City, UT
  • NPI 1699796706
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1326004102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051013",
            "telephone_number": "605-339-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051013",
            "telephone_number": "605-339-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNUSKE",
        "first_name": "JACOB",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD, MSPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "4979070-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49598",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "53968",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "17034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Prouty, MSW
• Jessie Prouty
• Mitchell Ray Pruett
• Ann Marie Pruitt
• Amber Lynn Pruner, M.A. CF-SLP
• Psychodynamic Therapy
• Psychology Associates,Inc.
• Linda Mae Pudenz, CNS, RN
• Alexandra Anne Pudwill, CRNA
• Allan N Pudwill, CRNA

• Family Medicine Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.

Verify at the official NPI Registry.