NPIMap

Individual provider Active NPI

Karley Fischer, PA-C

  • Physician Assistant
  • Brookings, SD
National Provider Identifier
1437567427
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0935 Issued in SD
Practice address
400 22ND Ave
Brookings, SD 57006-2497
Phone
(605) 697-9500
NPI assigned
Jul 23, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0935 SD Primary

Addresses

Primary practice location

400 22ND Ave
Brookings, SD 57006-2497

Mailing address

400 22ND Ave
Brookings, SD 57006-2497

Other names 1

  • Karley Stoltenburg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140929002724 SD Practitioner - Physician Assistant 5991925794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Queen of PeaceGroup PAC ID 9335050806, 122 clinicians

Practice addresses (Care Compare)

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234

801 3Rd St SW
De Smet, SD 57231-2224
Phone (605) 995-6337

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Jun 4, 2018 Accepting new patients
Avera Queen of Peace CurrentSince Jun 4, 2018 Accepting new patients
Avera Queen of Peace CurrentSince Dec 1, 2025 Accepting new patients

Locations

801 3rd St SW
De Smet, SD 57231
Phone (605) 854-3455

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Interoperability endpoints

  • Direct secure messaging: karley.fischer@avera.sdhealthlink.net

Organizations & group practices 4

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1437567427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062497",
            "telephone_number": "605-697-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KARLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLEY",
            "last_name": "STOLTENBURG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.