Individual provider Active NPI

Kimberly Kay Velk, PA

  • Physician Assistant
  • Sioux City, IA
National Provider Identifier
1669028197
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
801 5TH St
Sioux City, IA 51101-1326
Phone
(712) 279-2010
NPI assigned
Aug 12, 2019
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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 IA Primary

Addresses

Primary practice location

801 5TH St
Sioux City, IA 51101-1326

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

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
I20200129000557 SD Practitioner - Physician Assistant 8628404373 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1227SDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Oct 25, 2021 Accepting new patients
City of Brookings Current Accepting new patients
Sacred Heart Health Services CurrentSince Sep 1, 2021 Accepting new patients
Avera Queen of Peace CurrentSince Oct 25, 2021 Accepting new patients
St. Michael's Hospital, Inc. CurrentSince Dec 5, 2019 Accepting new patients
Rural Health Care, Inc CurrentSince Oct 25, 2021 Accepting new patients
City of Brookings CurrentSince Nov 28, 2021 Accepting new patients
City of Brookings CurrentSince Nov 28, 2021 Accepting new patients
Avera Queen of Peace Past Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

410 W 16th Ave
Tyndall, SD 57066
Phone (605) 589-2158

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Interoperability endpoints

  • Direct secure messaging: kimberly.velk@avera.sdhealthlink.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1669028197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELK",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.