Individual provider Active NPI

Lori A Kollmann, RN, PA-C

  • Physician Assistant
  • Howard, SD
National Provider Identifier
1932109907
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0347 Issued in SD
Practice address
208 S Main Ave
Howard, SD 57349-0099
Phone
(605) 772-4574
NPI assigned
Jul 29, 2005
Last updated
Nov 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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 0347 SD Primary

Addresses

Primary practice location

208 S Main Ave
Howard, SD 57349-0099

Mailing address

PO Box 99
208 S Main Ave
Howard, SD 57349-0099
Phone (605) 772-4574

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
I20110111000225 SD Practitioner - Physician Assistant 1658560495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

208 S Main
Howard, SD 57349-0099
Phone (605) 772-4574

401 Prairie Ave SW
Desmet, SD 57231-2224
Phone (605) 854-3455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.04 of 100Reported as apm
Quality
89.99
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0347SDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Feb 1, 1998 Accepting new patients
Horizon Health Care Inc CurrentSince Feb 1, 1998 Accepting new patients
Horizon Health Care Inc Past Accepting new patients
Horizon Health Care Inc Past Accepting new patients
Horizon Health Care Inc PastSince Apr 17, 2022 Accepting new patients

Locations

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Organizations & group practices 6

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 1

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1932109907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "address_2": "208 S MAIN AVE",
            "city": "HOWARD",
            "state": "SD",
            "postal_code": "573490099",
            "telephone_number": "605-772-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S MAIN AVE",
            "city": "HOWARD",
            "state": "SD",
            "postal_code": "573490099",
            "telephone_number": "605-772-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLMANN",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "RN, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard, SD

Sources for this page

Verify at the official NPI Registry.