Individual provider Active NPI

Ryan M Palmer, PA-C

  • Physician Assistant
  • Huron, SD
National Provider Identifier
1992026652
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1422 Issued in MN
Practice address
33 3Rd St SE
Suite 201
Huron, SD 57350-2063
Phone
(605) 554-0858
Fax
(605) 610-4063
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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 1422 MN Primary

Addresses

Primary practice location

33 3Rd St SE
Suite 201
Huron, SD 57350-2063

Mailing address

5204 S Westwind Ave
Sioux Falls, SD 57108-8343
Phone (605) 376-6281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101027000728 MN Practitioner - Physician Assistant 6608060371 Reassigns benefits to 1 organization
I20110425000813 SD Practitioner - Physician Assistant 6608060371 Reassigns benefits to 3 organizations
I20110922000542 TX Practitioner - Physician Assistant 6608060371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennan 957 clinicians
Rural Health Care Inc 156 clinicians
Flandreau Santee Sioux Tribe 11 clinicians

Practice addresses (Care Compare)

101 S Front St
Chamberlain, SD 57325-1612
Phone (605) 234-6584

101 S Front St
Chamberlain, SD 57325-1619
Phone (605) 234-6584

403 W Broad Ave
Flandreau Santee Sioux Tribal
Flandreau, SD 57028-1630
Phone (605) 997-2642

609 Garfield Ave
Murdo, SD 57559-4100
Phone (605) 669-2121

701 W Broad Ave
Flandreau, SD 57028-1529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10756MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care, Inc CurrentSince Nov 1, 2023 Accepting new patients
Rural Health Care, Inc. CurrentSince Nov 1, 2023 Accepting new patients
City of Sioux Falls CurrentSince Apr 18, 2018 Accepting new patients
Pipestone County Medical Center CurrentSince Jun 1, 2017 Accepting new patients
Avera McKennan CurrentSince Apr 1, 2011 Accepting new patients
Avera McKennan CurrentSince Apr 1, 2011 Accepting new patients
Avera McKennan Past Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients
Flandreau Santee Sioux Tribe PastSince May 31, 2020 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

101 S Front St
Ste 2
Chamberlain, SD 57325

101 S Front St
Chamberlain, SD 57325
Phone (605) 234-6584

111 E 10th St
Dell Rapids, SD 57022
Phone (605) 428-5446

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

200 Commercial Ave SE
Highmore, SD 57345
Phone (605) 852-2238

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

401 W Glynn Dr
Parkston, SD 57366
Phone (605) 928-3311

521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029

Interoperability endpoints

  • Direct secure messaging: ryan.palmer@avera.sdhealthlink.net

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1992026652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 S WESTWIND AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088343",
            "telephone_number": "605-376-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 3RD ST SE",
            "address_2": "SUITE 201",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502063",
            "telephone_number": "605-554-0858",
            "fax_number": "605-610-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.