Individual provider Active NPI

Jessica Pearson, M.D.

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
National Provider Identifier
1457762262
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13233 Issued in SD
Practice address
5010 S Broadband LN Ste 110
Sioux Falls, SD 57108-2329
Phone
(605) 215-0812
Fax
(605) 405-0601
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S8650 TX
Obstetrics & Gynecology Physician 207V00000X 13233 SD Primary

Addresses

Primary practice location

5010 S Broadband LN Ste 110
Sioux Falls, SD 57108-2329

Mailing address

5010 S Broadband LN Ste 110
Sioux Falls, SD 57108-2329
Phone (605) 215-0812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 9, 2024 through Oct 9, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13233SDMDObstetrics & Gynecology Physician
S8650TXMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: jessica.pearson@avera.sdhealthlink.net

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1457762262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 S BROADBAND LN STE 110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082329",
            "telephone_number": "605-215-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 S BROADBAND LN STE 110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082329",
            "telephone_number": "605-215-0812",
            "fax_number": "605-405-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S8650",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "13233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.