Individual provider Active NPI

Crystal M Oberle, PA-C

  • Medical Physician Assistant
  • Dakota Dunes, SD
National Provider Identifier
1720416563
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0883 Issued in SD
Practice address
211 Sioux Point Rd Ste 200
Dakota Dunes, SD 57049-5492
Phone
(605) 422-3000
Fax
(605) 422-3001
NPI assigned
Oct 14, 2013
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1778 NE
Medical Physician Assistant 363AM0700X 002409 IA
Medical Physician Assistant 363AM0700X 0883 SD Primary

Addresses

Primary practice location

211 Sioux Point Rd Ste 200
Dakota Dunes, SD 57049-5492

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA, NE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140123000668 SD Practitioner - Physician Assistant 3072741958 Reassigns benefits to 2 organizations
I20140204000767 IA Practitioner - Physician Assistant 3072741958 Reassigns benefits to 2 organizations
I20140215000043 NE Practitioner - Physician Assistant 3072741958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermsd LLCGroup PAC ID 5597153072, 8 clinicians
Family Health Care of Siouxland PLCGroup PAC ID 7315839412, 49 clinicians

Practice addresses (Care Compare)

1101 9TH St SE
Dunes Dermatology Sioux Center
Sioux Center, IA 51250-2501
Phone (605) 422-3000

1200 Providence Rd
Wayne, NE 68787-1212
Phone (605) 422-3001

330 Dakota Dunes Blvd
Suite 400
Dakota Dunes, SD 57049-5462
Phone (605) 422-3000

4230 Hamilton Blvd
Sioux City, IA 51104-1137
Phone (712) 239-4300

4545 Sergeant Rd
Sioux City, IA 51106-4706
Phone (712) 274-2400

701 E 2ND St
Dunes Dermatology Ida Grove
Ida Grove, IA 51445-1666
Phone (605) 422-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1778NEMDSpeech-Language Pathologist
002409IAMDMedical Physician Assistant
0883SDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Dec 9, 2013 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Diagnostic Radiology PC PastSince Sep 10, 2023 Accepting new patients
Family Health Care of Siouxland LLC Past Accepting new patients

Locations

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Interoperability endpoints

  • Direct secure messaging: coberle917019@direct.unitypoint.org
  • Direct secure messaging: crystaloberle@fhcs.allscriptsdirect.net

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 4

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": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1720416563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N SIOUX POINT RD",
            "address_2": "SUITE 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": "211 SIOUX POINT RD STE 200",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495492",
            "telephone_number": "605-422-3000",
            "fax_number": "605-422-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERLE",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1778",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002409",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.