Individual provider Active NPI

Ryanne L Waage, PA-C

  • Physician Assistant
  • Aberdeen, SD
National Provider Identifier
1871896431
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3 Lafayette St S
Aberdeen, SD 57401-5524
Phone
(605) 226-0560
Fax
(605) 226-1653
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 Primary

Addresses

Primary practice location

3 Lafayette St S
Aberdeen, SD 57401-5524

Mailing address

3 Lafayette St S
Aberdeen, SD 57402-5524
Phone (605) 226-0560

Other practice location 1

301 Flynn Dr
Milbank, SD 57252-1502
Phone (605) 226-0560

Other practice location 2

172 4th St SE
Huron, SD 57350-2510
Phone (605) 226-0560

Other names 1

  • Ryanne L Brockhaus Former name

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
I20110309000715 SD Practitioner - Physician Assistant 7719169929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie Dermatology PCGroup PAC ID 7719079193, 3 clinicians

Practice addresses (Care Compare)

3 Lafayette St S
Aberdeen, SD 57401-5524
Phone (605) 226-0560

Hospital & facility affiliations

  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Sanford Medical Center Aberdeen Hospital, Aberdeen, SD, CCN 430097
  • Mobridge Regional Hospital - Cah Hospital, Mobridge, SD, CCN 431325

Merit-based Incentive Payment System (MIPS)

Final score
93.03 of 100Reported as group
Quality
97.5
Promoting interoperability
93
Improvement activities
40
Cost
85.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0769SDMDOccupational Therapist

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1871896431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAFAYETTE ST S",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574025524",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LAFAYETTE ST S",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015524",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Flynn Dr",
            "address_purpose": "LOCATION",
            "city": "Milbank",
            "state": "SD",
            "postal_code": "572521502",
            "country_code": "US",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "SD",
            "postal_code": "573502510",
            "country_code": "US",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAAGE",
        "first_name": "RYANNE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYANNE",
            "last_name": "BROCKHAUS",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.