Individual provider Active NPI

Karla Statema, PAC

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1710933882
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0453 Issued in SD
Practice address
1201 S Euclid Ave
Ste 104
Sioux Falls, SD 57105
Phone
(605) 328-3840
Fax
(605) 328-3841
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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 0453 SD Primary

Addresses

Primary practice location

1201 S Euclid Ave
Ste 104
Sioux Falls, SD 57105

Mailing address

1201 S Euclid Ave
Ste 104
Sioux Falls, SD 57105
Phone (605) 328-3840

Other names 1

  • Karla Fridley Other name

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
I20051214000433 SD Practitioner - Physician Assistant 7618998972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

1508 W 22ND St
Suite 101
Sioux Falls, SD 57105-1514
Phone (605) 328-3840

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0453SDMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Feb 1, 2012 Accepting new patients
Sanford Clinic CurrentSince Jun 1, 2003 Accepting new patients
Sanford Clinic CurrentSince Jun 1, 2003 Accepting new patients
Sanford Medical Center Physician Assistant CurrentSince Feb 1, 2012 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

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

1508 W 22nd St
Ste 101
Sioux Falls, SD 57105
Phone (605) 328-3840

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1310 W 22nd St
Sioux Falls, SD 57105
Phone (605) 328-8200

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Organizations & group practices 6

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 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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1710933882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S EUCLID AVE",
            "address_2": "STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-328-3840",
            "fax_number": "605-328-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S EUCLID AVE",
            "address_2": "STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-328-3840",
            "fax_number": "605-328-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATEMA",
        "first_name": "KARLA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "FRIDLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.