NPIMap

Individual provider Active NPI

Daniel J Kvale, PAC

  • Physician Assistant
  • Bison, SD
National Provider Identifier
1750356465
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0549 Issued in SD
Practice address
105 W Main St
Bison, SD 57620-0003
Phone
(605) 244-5206
Fax
(605) 244-5208
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 0549 SD Primary

Addresses

Primary practice location

105 W Main St
Bison, SD 57620-0003

Mailing address

PO Box 427
Bison, SD 57620-0427
Phone (605) 244-5206

Other identifiers 2

IdentifierTypeStateIssuer
5350300MedicaidSD
42507OtherSDMED B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000517 SD Practitioner - Physician Assistant 9335118223 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

111 10TH St E
Dell Rapids, SD 57022-1217
Phone (605) 428-5446

111 E 10TH St
Dell Rapids, SD 57022-1217

909 N Iowa Ave
Dell Rapids, SD 57022-1231
Phone (605) 428-5431

Hospital & facility affiliations

  • Avera @ Home Home health agency, Sioux Falls, SD, CCN 437084
  • Avera Dells Area Hospital - Cah Hospital, Dell Rapids, SD, CCN 431331
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0549SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care, Inc CurrentSince Mar 1, 2023 Accepting new patients
Avera McKennan CurrentSince Nov 15, 2023 Accepting new patients
Avera McKennan CurrentSince Oct 1, 2025 Accepting new patients
Avera McKennan CurrentSince Nov 1, 2025 Accepting new patients
Avera McKennan CurrentSince Nov 15, 2023 Accepting new patients
Horizon Health Care Inc CurrentSince Aug 16, 2016 Accepting new patients
Avera Queen of Peace CurrentSince Mar 1, 2023 Accepting new patients
Horizon Health Care Inc CurrentSince Aug 16, 2016 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients
Horizon Health Care Inc Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

111 E 10th St
Dell Rapids, SD 57022
Phone (605) 428-5446

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

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Interoperability endpoints

  • Direct secure messaging: daniel.kvale@avera.sdhealthlink.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1750356465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "BISON",
            "state": "SD",
            "postal_code": "576200427",
            "telephone_number": "605-244-5206",
            "fax_number": "605-244-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST",
            "city": "BISON",
            "state": "SD",
            "postal_code": "576200003",
            "telephone_number": "605-244-5206",
            "fax_number": "605-244-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVALE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350300",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED B",
            "identifier": "42507",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bison, SD

Sources for this page

Verify at the official NPI Registry.