Active NPI
Terrence Joseph Jatczak, NP-C
- Family Nurse Practitioner
- Chamberlain, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP001195
- Practice address
- 300 S Byron Blvd
Chamberlain, SD 57325-9741 - Phone
- (605) 234-5511
- NPI assigned
- Aug 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP001195 | SD | Primary |
Addresses
Primary practice location
300 S Byron Blvd
Chamberlain, SD 57325-9741
Mailing address
300 S Byron Blvd
Chamberlain, SD 57325-9741
Phone (605) 234-5511
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170519001471 | SD | Practitioner - Nurse Practitioner | 5799052874 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Indiana University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health Network
Practice addresses (Care Compare)
300 S Byron Blvd
Chamberlain, SD 57325-9741
Phone (605) 234-5511
701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141
Hospital & facility affiliations
- Sanford Chamberlain Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.99 of 100
- Quality
- 31.99
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP001195 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Huron Laboratory SVC PC | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Women'S Wellness Center, Prof. L.L.C. | Past | Accepting new patients |
Locations
400 N Hiawatha Dr
Canton, SD 57013
Phone (605) 764-1500
300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
172 4th St SE
Huron, SD 57350
Phone (605) 353-6593
Interoperability endpoints
- https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Anatomic Pathology Physician
- Huron, SD
- NPI 1437155744
-
- Community Health Worker
- Huron, SD
- NPI 1336861954
-
- Family Medicine Physician
- Vermillion, SD
- NPI 1013921733
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
-
- Critical Access Hospital
- Canby, MN
- NPI 1780781054
-
- Clinic/Center
- Huron, SD
- NPI 1598051708
Hospital & facility affiliations 2
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": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1700330461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S BYRON BLVD",
"city": "CHAMBERLAIN",
"state": "SD",
"postal_code": "573259741",
"telephone_number": "605-234-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S BYRON BLVD",
"city": "CHAMBERLAIN",
"state": "SD",
"postal_code": "573259741",
"telephone_number": "605-234-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JATCZAK",
"first_name": "TERRENCE",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-11",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP001195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chamberlain, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.