NPIMap

Individual provider Active NPI

Billie Jo Baxa, PAC

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1346294857
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0610 Issued in SD
Practice address
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone
(605) 336-2140
Fax
(605) 336-1677
NPI assigned
May 20, 2006
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 0610 SD Primary

Addresses

Primary practice location

1200 S 7TH Ave
Sioux Falls, SD 57105-0900

Mailing address

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000858 SD Practitioner - Physician Assistant 1254382765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1101 E Holly Blvd
Brandon, SD 57005-1426
Phone (605) 582-3853

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (605) 322-5180

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0610SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince May 1, 2016 Accepting new patients
Avera McKennan CurrentSince May 1, 2016 Accepting new patients
Avera McKennan Past Accepting new patients
Affordable Medical Care LLC Physician Assistant Past Accepting new patients

Locations

1101 E Holly Blvd
Brandon, SD 57005
Phone (605) 582-3853

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

1910 W 69th St
Sioux Falls, SD 57108
Phone (605) 322-5200

3000 S Minnesota Ave
Sioux Falls, SD 57105
Phone (605) 332-1502

Interoperability endpoints

  • Direct secure messaging: billie.baxa@avera.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

  • Avera McKennan

    dba Avera McKennan Behavioral Health Clinic

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Sioux Falls, SD
    • NPI 1699009944
    Medicare reassignment Care Compare group
  • Avera McKennan

    dba Avera Interventional Radiology

    • Diagnostic Radiology Physician
    • Sioux Falls, SD
    • NPI 1053680678
    NPD
  • Avera McKennan

    dba Avera Medical Group Comprehensive Weight Management

    • Obesity Medicine (Family Medicine) Physician
    • Sioux Falls, SD
    • NPI 1457096133
    NPD
  • Avera McKennan

    dba Avera Medical Group 69th and Cliff

    • Family Medicine Physician
    • Sioux Falls, SD
    • NPI 1144635863
    NPD (past)
  • Affordable Medical Care LLC

    dba Curaquick Clinics or Curaquick Avera Clinics

    • Family Nurse Practitioner
    • Sioux City, IA
    • NPI 1710106463

    Physician Assistant

    NPD (past)

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1346294857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050900",
            "telephone_number": "605-336-2140",
            "fax_number": "605-336-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050900",
            "telephone_number": "605-336-2140",
            "fax_number": "605-336-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXA",
        "first_name": "BILLIE",
        "middle_name": "JO",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.