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Individual provider Active NPI

Jessica Jean Slaba, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1770190993
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP001852 Issued in SD
Practice address
1000 E 23Rd St Ste 200
Sioux Falls, SD 57105-2122
Phone
(605) 322-3035
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP001852 SD Primary

Addresses

Primary practice location

1000 E 23Rd St Ste 200
Sioux Falls, SD 57105-2122

Mailing address

1000 E 23Rd St Ste 200
Sioux Falls, SD 57105-2122

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
I20201113001232 SD Practitioner - Nurse Practitioner 3375953722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2122

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

620 3Rd Ave SE
Aberdeen, SD 57401-4554
Phone (605) 622-5613

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Nov 1, 2020 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Nov 1, 2020 Accepting new patients
Avera McKennan Nurse Practitioner Past Accepting new patients

Locations

620 3rd Ave SE
Aberdeen, SD 57401
Phone (605) 622-2550

1000 E 23rd St
Ste 200
Sioux Falls, SD 57105
Phone (605) 322-3035

Organizations & group practices 4

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.

  • Avera McKennan

    dba Avera McKennan Behavioral Health Clinic

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Sioux Falls, SD
    • NPI 1699009944
    Medicare reassignment Care Compare group NPD
  • Avera McKennan

    dba Avera Interventional Radiology

    • Diagnostic Radiology Physician
    • Sioux Falls, SD
    • NPI 1053680678
    NPD
  • Avera McKennan

    dba Avera Medical Group Hematology, Transplant & Cellular Therapy Sioux Fa

    • Hematology & Oncology Physician
    • Sioux Falls, SD
    • NPI 1538135447
    NPD
  • Avera McKennan

    dba Avera Medical Group

    • Family Medicine Physician
    • Sioux Falls, SD
    • NPI 1376575514

    Nurse Practitioner

    NPD (past)

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1770190993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052122",
            "telephone_number": "605-322-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLABA",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.