NPIMap

Individual provider Active NPI

Joshua Austin Katz, CNP

  • Primary Care Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1609535277
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CP002237 Issued in SD
Practice address
116 W 69TH St
Sioux Falls, SD 57108-6418
Phone
(605) 322-3455
Fax
(605) 322-3456
NPI assigned
Dec 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X CP002237 SD
Adult Health Nurse Practitioner 363LA2200X CP002237 SD
Primary Care Nurse Practitioner 363LP2300X CP002237 SD Primary

Addresses

Primary practice location

116 W 69TH St
Sioux Falls, SD 57108-6418

Mailing address

116 W 69TH St
Sioux Falls, SD 57108-6418
Phone (605) 322-3455

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
I20220203001817 SD Practitioner - Nurse Practitioner 7012300668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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)

6000 W 41St St
Sioux Falls, SD 57106-3012

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP002237SDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jan 9, 2022 Accepting new patients
Avera McKennan CurrentSince Jan 9, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients

Locations

6000 W 41st St
Ste 100
Sioux Falls, SD 57106
Phone (605) 504-0400

911 E 20th St
Ste 200
Sioux Falls, SD 57105
Phone (605) 322-3455

116 W 69th St
Sioux Falls, SD 57108
Phone (605) 322-1530

Interoperability endpoints

  • Direct secure messaging: joshua.katz@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 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": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1609535277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086418",
            "telephone_number": "605-322-3455",
            "fax_number": "605-322-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086418",
            "telephone_number": "605-322-3455",
            "fax_number": "605-322-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JOSHUA",
        "middle_name": "AUSTIN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SD",
            "license": "CP002237",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SD",
            "license": "CP002237",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SD",
            "license": "CP002237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.