Kahley Elizabeth Meyer, PA-C
Individual provider Active NPI Physician Assistant · Watertown, SD
NPI 1356844385 · NPPES record last updated Jun 26, 2024
Key facts
- NPI
- 1356844385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1160 (SD)
- Practice address
- 401 9TH Ave NW
Watertown, SD 57201-1548 - Phone
- (605) 882-7000
- Fax
- (605) 882-7819
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prairie Lakes Health Care System Inc
Practice addresses (Care Compare)
1201 Mickelson Dr
Watertown, SD 57201-7231
Phone (605) 882-4743
401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000
Hospital & facility affiliations
- Prairie Lakes Healthcare System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.59 of 100
- Quality
- 100
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 85.3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180515002846 | MN | Practitioner - Physician Assistant | 7012271240 | Reassigns benefits to 1 organization |
| I20200129002445 | SD | Practitioner - Physician Assistant | 7012271240 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Lakes Health Care System Inc | Physician Assistant | Current |
Accepting new patients |
| Prairie Lakes Health Care System Inc | Current |
Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients |
Locations
401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12677 | MN | |
| Physician Assistant | 363A00000X | 1160 | SD | Yes |
Addresses
Primary practice location
401 9TH Ave NW
Watertown, SD 57201-1548
Mailing address
PO Box 1210
Watertown, SD 57201-6210
Phone (605) 882-7000
Other providers in Watertown, SD
- David Evan Mendel
- Megan Merkel
- Amber Lea Meyer
- Danielle Meyer
- Hilary A Meyer
- Nichole Renee Meyer
- Michael J Vener M D P C
- Midwest Medical, Inc.
- Christine Miller
- Danielle Terese Miller
All providers in Watertown, SD · Physician Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.