Individual provider Active NPI

Renae Leah Gerlach, PA

  • Physician Assistant
  • Mitchell, SD
National Provider Identifier
1881745016
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0641 Issued in SD
Practice address
2100 Highland Way Ste K
Mitchell, SD 57301-6409
Phone
(605) 996-0440
Fax
(605) 996-0401
NPI assigned
Jan 15, 2007
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 0641 SD Primary

Addresses

Primary practice location

2100 Highland Way Ste K
Mitchell, SD 57301-6409

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

1200 S Burr St Ste B
Mitchell, SD 57301-4585
Phone (605) 292-0695

Other identifiers 1

IdentifierTypeStateIssuer
0641OtherSDSTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rgerlach4800@direct.sanfordhealth.org Direct
Direct Messaging Address rgerlach4800@direct.sanfordhealth.org Direct

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
I20070518000010 SD Practitioner - Physician Assistant 2769589209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

2100 Highland Way
Suite K
Mitchell, SD 57301-6409
Phone (605) 996-0400

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

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
0641SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Physician Assistant CurrentSince Aug 19, 2022 Accepting new patients
Sanford Clinic CurrentSince Oct 9, 2017 Accepting new patients
Sanford Clinic CurrentSince Oct 9, 2017 Accepting new patients
Sanford Health Network CurrentSince Jan 1, 2017 Accepting new patients
Sanford Medical Center CurrentSince Aug 19, 2022 Accepting new patients
Sanford Health Network CurrentSince Jan 1, 2017 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

708 8th St
Armour, SD 57313
Phone (605) 724-2159

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

1200 S Burr St
Ste B
Mitchell, SD 57301
Phone (605) 282-0695

2100 Highland Way
Ste K
Mitchell, SD 57301
Phone (605) 996-0400

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

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

Interoperability endpoints

  • Direct secure messaging: rgerlach4800@direct.sanfordhealth.org

Organizations & group practices 8

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1881745016",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHLAND WAY STE K",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573016409",
            "telephone_number": "605-996-0440",
            "fax_number": "605-996-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Burr St Ste B",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573014585",
            "country_code": "US",
            "telephone_number": "605-292-0695",
            "fax_number": "605-292-0699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "RENAE",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0641",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgerlach4800@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 S Burr St Ste B",
            "city": "Mitchell",
            "state": "SD",
            "country_code": "US",
            "postal_code": "573014585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgerlach4800@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2100 Highland Way Ste K",
            "city": "Mitchell",
            "state": "SD",
            "country_code": "US",
            "postal_code": "573016409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.