Jonathan Dean Medeck, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0361 Issued in SD

Practice address

Sanford Health Tower Road Clinic
3024 Tower Road
Rapid City, SD 57701

Phone

(605) 508-3000

Fax

(605) 401-6715

NPI assigned

Feb 15, 2006

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Center of Steamboat Springs, LLC a Professional LLCGroup PAC ID 8123115623, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Dermatology Center of Steamboat Springs, LLC a Professional LLC

  • Specialist
  • Steamboat Springs, CO
  • NPI 1215157029
  Medicare reassignment Care Compare group NPD
• Advanced Dermatology Center, PC

  • Dermatology Physician
  • Rapid City, SD
  • NPI 1346389178
  Medicare reassignment

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1467426387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 TOWER ROAD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-508-3000",
            "fax_number": "605-401-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANFORD HEALTH TOWER ROAD CLINIC",
            "address_2": "3024 TOWER ROAD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-508-3000",
            "fax_number": "605-401-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDECK",
        "first_name": "JONATHAN",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SD",
            "license": "0361",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina McVay, OT
• Meadowbrook Care and Rehabilitation Center LLC (Meadowbrook Care and Rehabilitation Center)
• Tara Mechaley, LMT
• Taylor Joseph Mechaley, LMT
• Marcus Vernon Medalen, PT
• Medical Arts Clinic, Pro. L.L.C.
• Medical Associates of the Black Hillc, LLC.
• Marisa Claudette Medina, MD
• Molly Meehan-Rasby
• Jennifer Mees, M.S. CCC-SLP

• Physician Assistant in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.

Verify at the official NPI Registry.