NPIMap

Individual provider Active NPI

Christina Jean Pekoske

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1538533427
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6100 S Louise Ave Ste 1110
Sioux Falls, SD 57108-6030
Phone
(605) 504-1900
Fax
(605) 504-1901
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 Primary

Addresses

Primary practice location

6100 S Louise Ave Ste 1110
Sioux Falls, SD 57108-6030

Mailing address

6100 S Louise Ave Ste 1110
Sioux Falls, SD 57108-6030
Phone (605) 504-1900

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
I20160224001986 SD Practitioner - Physician Assistant 6800191198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1001 E 21St St
Suite 401
Sioux Falls, SD 57105-1017
Phone (605) 322-8920

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

4400 W 69TH St
Suite 500
Sioux Falls, SD 57108-8171
Phone (605) 322-7580

6100 S Louise Ave
Suite 1110
Sioux Falls, SD 57108-6030
Phone (605) 322-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022SDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Feb 1, 2016 Accepting new patients
Avera McKennan CurrentSince Feb 1, 2016 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

6100 S Louise Ave
Ste 1110
Sioux Falls, SD 57108
Phone (605) 322-6700

1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920

4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700

Interoperability endpoints

  • Direct secure messaging: christina.pekoske@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 and National Provider Directory roles.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1538533427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 1110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086030",
            "telephone_number": "605-504-1900",
            "fax_number": "605-504-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 1110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086030",
            "telephone_number": "605-504-1900",
            "fax_number": "605-504-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKOSKE",
        "first_name": "CHRISTINA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.