Individual provider Active NPI

Kristin L Hermanson, MD

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
National Provider Identifier
1770577967
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6076 Issued in SD
Practice address
1500 W 22ND St
Ste 301
Sioux Falls, SD 57105-7702
Phone
(605) 328-7700
Fax
(605) 328-7775
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36066 IA
Obstetrics & Gynecology Physician 207V00000X 6076 SD Primary

Addresses

Primary practice location

1500 W 22ND St
Ste 301
Sioux Falls, SD 57105-7702

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-4539

Other identifiers 1

IdentifierTypeStateIssuer
39314OtherIAWELLMARK BCBS

Other names 1

  • Kristin L Wenande Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khermanson5829@direct.sanfordhealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000931 SD Practitioner - Obstetrics/Gynecology 3870539182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Clinic 268 clinicians
Sanford Medical Center 847 clinicians

Practice addresses (Care Compare)

1500 W 22ND St
Sioux Falls, SD 57105-1503

5019 S Western Ave
Suite 200
Sioux Falls, SD 57108-5155
Phone (605) 328-9700

Hospital & facility affiliations

  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Feb 1, 2012 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Jul 9, 2007 Accepting new patients
Sanford Medical Center Obstetrics & Gynecology CurrentSince Feb 1, 2012 Accepting new patients
Sanford Clinic CurrentSince Jul 9, 2007 Accepting new patients

Locations

1500 W 22nd St
Ste 301
Sioux Falls, SD 57105
Phone (605) 328-7700

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

5019 S Western Ave
Ste 200
Sioux Falls, SD 57108
Phone (605) 328-9700

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

Interoperability endpoints

  • Direct secure messaging: khermanson5829@direct.sanfordhealth.org

Organizations & group practices 22

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 22

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1770577967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-4539",
            "fax_number": "605-328-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 22ND ST",
            "address_2": "STE 301",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571057702",
            "telephone_number": "605-328-7700",
            "fax_number": "605-328-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANSON",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "36066",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "39314",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khermanson5829@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1500 W 22nd St",
            "address_2": "Ste 301",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571057702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WENANDE",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.