NPIMap

Individual provider Active NPI

Chet McManus

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1366826372
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1018 Issued in SD
Practice address
2908 E 26TH St
Sioux Falls, SD 57103
Phone
(605) 336-2638
Fax
(605) 334-4500
NPI assigned
Jul 20, 2015
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1018 SD Primary
Physician Assistant 363A00000X 12284 MN

Addresses

Primary practice location

2908 E 26TH St
Sioux Falls, SD 57103

Mailing address

2908 E 26TH Street
Sioux Falls, SD 57103-4034
Phone (605) 336-2638

Other practice location 1

916 4th Ave SW
Pipestone, MN 56164-1890
Phone (507) 825-5811

Other identifiers 2

IdentifierTypeStateIssuer
2010887MedicaidSD
S110275OtherSDSD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 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
I20160104000228 SD Practitioner - Physician Assistant 2365744737 Reassigns benefits to 1 organization
I20170222001342 MN Practitioner - Physician Assistant 2365744737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1216 Ryans Rd
Worthington, MN 56187-1722
Phone (507) 372-2921

6100 S Louise Ave
Sioux Falls, SD 57108-6029

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

911 5TH Ave SW
Pipestone, MN 56164-1054
Phone (507) 825-5811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1018SDMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Oct 3, 2018 Accepting new patients
Avera McKennan CurrentSince Mar 22, 2022 Accepting new patients
Avera McKennan CurrentSince Oct 3, 2018 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

911 5th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921

2908 E 26th St
Sioux Falls, SD 57103
Phone (605) 336-2638

6100 S Louise Ave
Ste 1500
Sioux Falls, SD 57108
Phone (605) 504-1100

6100 S Louise Ave
Ste 2100
Sioux Falls, SD 57108
Phone (605) 504-1100

6215 S Cliff Ave
Ste 110
Sioux Falls, SD 57108
Phone (605) 322-4130

6800 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 322-3278

911 E 20th St
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-1300

Interoperability endpoints

  • Direct secure messaging: chet.mcmanus@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.

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1366826372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 E 26TH STREET",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034034",
            "telephone_number": "605-336-2638",
            "fax_number": "605-334-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57103",
            "telephone_number": "605-336-2638",
            "fax_number": "605-334-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 4th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Pipestone",
            "state": "MN",
            "postal_code": "561641890",
            "country_code": "US",
            "telephone_number": "507-825-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "CHET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1018",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010887",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD MEDICARE",
            "identifier": "S110275",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.