Individual provider Active NPI

Brenda L Van Scoyk, PA C

  • Surgical Physician Assistant
  • Dakota Dunes, SD
National Provider Identifier
1689640153
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
705 Sioux Point Rd
Ste 100
Dakota Dunes, SD 57049-5091
Phone
(605) 217-5500
Fax
(605) 217-5515
NPI assigned
Feb 24, 2006
Last updated
Jan 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

705 Sioux Point Rd
Ste 100
Dakota Dunes, SD 57049-5091

Mailing address

705 Sioux Point Rd
Ste 100
Dakota Dunes, SD 57049-5091
Phone (605) 217-5500

Other identifiers 2

IdentifierTypeStateIssuer
970021543OtherSDRR MEDICARE
I3623OtherMEDICARE

Other names 1

  • Brenda L Dreyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 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

Enrollment IDStateProvider typePAC IDDetails
I20100826001031 IA Practitioner - Physician Assistant 9436273497 Reassigns benefits to 1 organization
I20100928001762 SD Practitioner - Physician Assistant 9436273497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cnos PCGroup PAC ID 4284548942, 98 clinicians

Practice addresses (Care Compare)

2735 Outer Dr N
Cnos Northside
Sioux City, IA 51104-1590
Phone (712) 224-5692

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (605) 232-3332

705 N Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091
Phone (605) 217-2667

801 5TH St
Sioux City, IA 51101-1326
Phone (712) 279-2010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Cnos, PC CurrentSince Jan 1, 2023 Accepting new patients
Cnos PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692

5708 Sunnybrook Ct
Sioux City, IA 51106

575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615

705 N Sioux Point Rd
Ste 100
North Sioux City, SD 57049
Phone (605) 217-5566

Interoperability endpoints

  • Direct secure messaging: brendavanscoyk@cnos.allscriptsdirect.net
  • Direct secure messaging: bvanscoyk128431@direct.unitypoint.org

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1689640153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SIOUX POINT RD",
            "address_2": "STE 100",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495091",
            "telephone_number": "605-217-5500",
            "fax_number": "605-217-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SIOUX POINT RD",
            "address_2": "STE 100",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495091",
            "telephone_number": "605-217-5500",
            "fax_number": "605-217-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCOYK",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970021543",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I3623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "DREYER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.