Active NPI
Jacob Lyngaas, MPA, PA-C
- Physician Assistant
- Huron, SD
National Provider Identifier
1376929000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0988
- Practice address
- 172 4TH St SE
Huron, SD 57350-2510 - Phone
- (605) 353-6200
- NPI assigned
- Aug 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0988 | SD | Primary |
Addresses
Primary practice location
172 4TH St SE
Huron, SD 57350-2510
Mailing address
PO Box 510
Britton, SD 57430-0510
Phone (605) 470-0559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.59 of 100
- Quality
- 100
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 85.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Physician Assistant | Current | Accepting new patients |
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Huron Laboratory SVC PC | Current | Accepting new patients |
Locations
172 4th St SE
Huron, SD 57350
Phone (605) 353-6593
401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Huron, SD
- NPI 1154312429
-
- Rural Acute Care Hospital
- Watertown, SD
- NPI 1720166002
-
- Anatomic Pathology Physician
- Huron, SD
- NPI 1437155744
-
- Community Health Worker
- Huron, SD
- NPI 1336861954
-
- Family Medicine Physician
- Castlewood, SD
- NPI 1578369070
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1376929000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510",
"city": "BRITTON",
"state": "SD",
"postal_code": "574300510",
"telephone_number": "605-470-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 4TH ST SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502510",
"telephone_number": "605-353-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNGAAS",
"first_name": "JACOB",
"credential": "MPA, PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.