Individual provider Active NPI

Katherine E Ericson

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1346723830
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F07182279 Issued in SD
Practice address
6709 S Minnesota Ave Ste 205
Sioux Falls, SD 57108-2593
Phone
(605) 271-2700
Fax
(605) 271-2277
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F07182279 SD Primary

Addresses

Primary practice location

6709 S Minnesota Ave Ste 205
Sioux Falls, SD 57108-2593

Mailing address

6709 S Minnestoa Ave
Ste 205
Sioux Falls, SD 57108
Phone (605) 271-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181108000673 SD Practitioner - Nurse Practitioner 4284988304 Reassigns benefits to 1 organization
I20181126000266 IA Practitioner - Nurse Practitioner 4284988304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Sleep ConsultantsGroup PAC ID 8820016587, 3 clinicians

Practice addresses (Care Compare)

1111 11TH St
Hawarden, IA 51023-1903
Phone (712) 551-3103

6709 S Minnesota Ave
Suite 205
Sioux Falls, SD 57108-2593
Phone (605) 271-2700

Hospital & facility affiliations

  • Madison Regional Health System Hospital, Madison, SD, CCN 431300
  • Hawarden Regional Healthcare Hospital, Hawarden, IA, CCN 161311
  • Huron Regional Medical Center Hospital, Huron, SD, CCN 431335
  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

Merit-based Incentive Payment System (MIPS)

Final score
61.99 of 100Reported as group
Quality
31.99
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.71 of 100Reported as group
Quality
85.75
Improvement activities
40
Cost
78.48

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07182279SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Consultants CurrentSince Sep 4, 2018 Accepting new patients
Hypnos Sleep Wellness, PC Past Accepting new patients

Locations

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

6709 S Minnesota Ave
Ste 210
Sioux Falls, SD 57108
Phone (605) 271-0577

6709 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 271-2700

6709 S Minnesota Ave
Ste 205
Sioux Falls, SD 57108
Phone (605) 271-2700

Interoperability endpoints

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

Organizations & group practices 2

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1346723830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 S MINNESTOA AVE",
            "address_2": "STE 205",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-271-2700",
            "fax_number": "605-271-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 205",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-271-2700",
            "fax_number": "605-271-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "F07182279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.