Individual provider Active NPI

Desirae Lynn Dinius, PAC

  • Physician Assistant
  • Hill City, SD
National Provider Identifier
1629487160
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
238 Elm St
Hill City, SD 57745-8911
Phone
(605) 574-4470
Fax
(605) 574-2352
NPI assigned
Aug 8, 2014
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

238 Elm St
Hill City, SD 57745-8911

Mailing address

238 Elm St
Hill City, SD 57745-8911
Phone (605) 574-4470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190910002107 SD Practitioner - Physician Assistant 3375760309 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians
Stephen Tamang MD Consulting Services PCGroup PAC ID 0345580965, 7 clinicians

Practice addresses (Care Compare)

1100 Hwy 71 S
Hot Springs, SD 57747-8801
Phone (605) 745-8050

1440 N Main St
Spearfish, SD 57783-1505
Phone (605) 644-4000

238 Elm St
Hill City, SD 57745-8905
Phone (605) 574-4470

3202 W Main St
Suite B
Rapid City, SD 57702-1706
Phone (605) 340-1234

625 Flormann St
Rapid City, SD 57701-5469
Phone (605) 340-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
1190SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Jun 22, 2019 Accepting new patients
Monument Health Network, Inc. CurrentSince Jun 22, 2019 Accepting new patients
Monument Health Network, Inc CurrentSince Dec 19, 2024 Accepting new patients
Stephen Tamang MD Consulting Schangervices PC PastSince Dec 6, 2022 Accepting new patients
Regional Health Physicians Inc Past Accepting new patients

Locations

1220 Montgomery St
Custer, SD 57730
Phone (605) 673-4150

238 Elm St
Hill City, SD 57745
Phone (605) 574-4470

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • Direct secure messaging: desirae.dinius.1@18632.direct.athenahealth.com

Organizations & group practices 7

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1629487160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 ELM ST",
            "city": "HILL CITY",
            "state": "SD",
            "postal_code": "577458911",
            "telephone_number": "605-574-4470",
            "fax_number": "605-574-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 ELM ST",
            "city": "HILL CITY",
            "state": "SD",
            "postal_code": "577458911",
            "telephone_number": "605-574-4470",
            "fax_number": "605-574-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINIUS",
        "first_name": "DESIRAE",
        "middle_name": "LYNN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hill City, SD

Sources for this page

Verify at the official NPI Registry.