NPIMap

Individual provider Active NPI

Teresa R Behl, PAC

  • Physician Assistant
  • Freeman, SD
National Provider Identifier
1982675351
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0471
Practice address
804 Walnut St
Freeman, SD 57029-0900
Phone
(605) 925-4219
NPI assigned
Feb 1, 2006
Last updated
Mar 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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 0471 Primary

Addresses

Primary practice location

804 Walnut St
Freeman, SD 57029-0900

Mailing address

PO Box 900
Freeman, SD 57029-0900
Phone (605) 925-4219

Other identifiers 2

IdentifierTypeStateIssuer
6823520MedicaidSD
6823522MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000559 SD Practitioner - Physician Assistant 3274530555 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0471SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Regional Health Services CurrentSince Oct 1, 2025 Accepting new patients
Avera McKennan CurrentSince Dec 19, 2014 Accepting new patients
Freeman Regional Health Services CurrentSince May 1, 2011 Accepting new patients
Sanford Health Network CurrentSince Jul 10, 2009 Accepting new patients
Sanford Health Network CurrentSince Jul 10, 2009 Accepting new patients
Avera McKennan CurrentSince Dec 19, 2014 Accepting new patients
Rural Medical Clinics, PA Past Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

400 N Hiawatha Dr
Canton, SD 57013
Phone (605) 764-1500

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

804 S Walnut St
Freeman, SD 57029
Phone (605) 925-4000

Interoperability endpoints

  • Direct secure messaging: teresa.behl@avera.sdhealthlink.net

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1982675351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "570290900",
            "telephone_number": "605-925-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 WALNUT ST",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "570290900",
            "telephone_number": "605-925-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHL",
        "first_name": "TERESA",
        "middle_name": "R",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "0471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6823520",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6823522",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeman, SD

Sources for this page

Verify at the official NPI Registry.