Active NPI
Kirsten H Stotz, DO
- Family Medicine Physician
- Sioux Falls, SD
National Provider Identifier
1770719122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8493
- Practice address
- 4011 W Benson Rd
Sioux Falls, SD 57107-0104 - Phone
- (605) 322-1500
- Fax
- (605) 322-1510
- NPI assigned
- May 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8493 | SD | Primary |
Addresses
Primary practice location
4011 W Benson Rd
Sioux Falls, SD 57107-0104
Mailing address
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 504-5400
Other names 1
- Kirsten H Nelson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140
1600 S Highline Ave
Sioux Falls, SD 57110-1008
740 S Hill St
Salem, SD 57058-8760
Phone (605) 425-2855
Hospital & facility affiliations
- Avera @ Home
- Avera @ Home
- Avera McKennan Hospital & University Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8493 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Family Medicine | Current | Accepting new patients |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
4011 W Benson Rd
Sioux Falls, SD 57107
Phone (605) 322-1500
1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140
Interoperability endpoints
- kirsten.stotz@avera.sdhealthlink.net
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1376575514
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Sioux Falls, SD
- NPI 1467474239
-
- Home Health Agency
- Sioux Falls, SD
- NPI 1649691320
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1770719122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S 7TH AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050900",
"telephone_number": "605-504-5400",
"fax_number": "605-504-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 W BENSON RD",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571070104",
"telephone_number": "605-322-1500",
"fax_number": "605-322-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTZ",
"first_name": "KIRSTEN",
"middle_name": "H",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "8493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "NELSON",
"middle_name": "H",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.