NPIMap

Individual provider Active NPI

Kelly Michele Jerstad, MD

  • Dermatology Physician
  • Sioux Falls, SD
National Provider Identifier
1417954470
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5248 Issued in SD
Practice address
4950 S Minnesota Ave
Sioux Falls, SD 57108-2864
Phone
(605) 330-9619
Fax
(605) 330-9503
NPI assigned
Jul 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 48874 IA
Dermatology Physician 207N00000X 5248 SD Primary
MOHS-Micrographic Surgery Physician 207ND0101X 5248 SD
MOHS-Micrographic Surgery Physician 207ND0101X 48874 IA

Addresses

Primary practice location

4950 S Minnesota Ave
Sioux Falls, SD 57108-2864

Mailing address

4950 S Minnesota Ave
Sioux Falls, SD 57108-2864
Phone (605) 330-9619

Other practice location 1

2700 23rd St Ste C
Spirit Lake, IA 51360-1158
Phone (712) 336-6850

Other identifiers 1

IdentifierTypeStateIssuer
5900450MedicaidSD

Other names 1

  • Kelly Michele Binstock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN, IA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031230000741 SD Practitioner - Dermatology 4183522949 Reassigns benefits to 1 organization
I20050520000115 MN Practitioner - Dermatology 4183522949 Reassigns benefits to 1 organization
I20211105002091 IA Practitioner - Dermatology 4183522949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
George Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Dermatology at Spirit Lake PCGroup PAC ID 8022414432, 4 clinicians
Dakota Dermatology, LTDGroup PAC ID 6709783848, 9 clinicians

Practice addresses (Care Compare)

2700 23Rd St
Suite C
Spirit Lake, IA 51360-1158
Phone (712) 336-6850

4950 S Minnesota Ave
Sioux Falls, SD 57108-2864
Phone (605) 330-9619

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision165
Removal of tissue1-10
Removal of skin lesions661
Removal of skin cancer585
Removal of nail tissue1-10
Removal or shaving of skin growth158
Skin biopsy51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Dermatology at Spirit Lake PC Dermatology CurrentSince Aug 9, 2021 Accepting new patients
Dakota Dermatology, LTD Dermatology CurrentSince Oct 14, 2003 Accepting new patients
Pinnacle Dermatology, SC Dermatology CurrentSince Feb 9, 2020 Accepting new patients

Locations

2700 23rd St
Ste C
Spirit Lake, IA 51360
Phone (712) 336-3750

625 E Nicollet Blvd
Ste 203
Burnsville, MN 55337
Phone (952) 435-2525

4725 36th Ave N
Minneapolis, MN 55422
Phone (763) 231-8700

3655 Plymouth Blvd
Ste 110
Plymouth, MN 55446
Phone (612) 486-4200

4950 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 330-9619

Organizations & group practices 3

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 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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1417954470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082864",
            "telephone_number": "605-330-9619",
            "fax_number": "605-330-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082864",
            "telephone_number": "605-330-9619",
            "fax_number": "605-330-9503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 23rd St Ste C",
            "address_purpose": "LOCATION",
            "city": "Spirit Lake",
            "state": "IA",
            "postal_code": "513601158",
            "country_code": "US",
            "telephone_number": "712-336-6850",
            "fax_number": "712-336-8152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERSTAD",
        "first_name": "KELLY",
        "middle_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "48874",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SD",
            "license": "5248",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SD",
            "license": "5248",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IA",
            "license": "48874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900450",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BINSTOCK",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.