Individual provider Active NPI

Cheryl Hairgrove, PAC

  • Physician Assistant
  • Webster, SD
National Provider Identifier
1841205333
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
R016878 Issued in SD
Practice address
101 Peabody Dr
Webster, SD 57274-1061
Phone
(605) 345-4141
Fax
(605) 345-4135
NPI assigned
Jul 31, 2006
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X R016878 SD Primary
Physician Assistant 363A00000X 0565 SD

Addresses

Primary practice location

101 Peabody Dr
Webster, SD 57274-1061

Mailing address

101 Peabody Dr
Webster, SD 57274-1061
Phone (605) 345-4141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chairgrove5262@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001624 SD Practitioner - Physician Assistant 0244228864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

101 Peabody Dr
Webster, SD 57274-1061
Phone (605) 226-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R016878SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Sep 1, 2006 Accepting new patients
Sanford Health Network CurrentSince Jan 13, 2026 Accepting new patients
Sanford Health Network CurrentSince Sep 1, 2006 Accepting new patients

Locations

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

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

1401 W 1st St
Webster, SD 57274
Phone (605) 345-3336

101 Peabody Dr
Webster, SD 57274
Phone (605) 226-5500

Interoperability endpoints

  • Direct secure messaging: chairgrove5262@direct.sanfordhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1841205333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEABODY DR",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572741061",
            "telephone_number": "605-345-4141",
            "fax_number": "605-345-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PEABODY DR",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572741061",
            "telephone_number": "605-345-4141",
            "fax_number": "605-345-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRGROVE",
        "first_name": "CHERYL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "R016878",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chairgrove5262@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "101 Peabody Dr",
            "city": "Webster",
            "state": "SD",
            "country_code": "US",
            "postal_code": "572741061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, SD

Sources for this page

Verify at the official NPI Registry.