Active NPI
Ryan M Palmer, PA-C
- Physician Assistant
- Huron, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1422
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 McKennanRural Health Care IncFlandreau Santee Sioux Tribe
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10756 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Care, Inc | Current | Accepting new patients | |
| Rural Health Care, Inc. | Current | Accepting new patients | |
| City of Sioux Falls | Current | Accepting new patients | |
| Pipestone County Medical Center | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients | |
| Avera McKennan | Physician Assistant | Past | Accepting new patients |
| Flandreau Santee Sioux Tribe | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Chamberlain, SD
- NPI 1750705232
-
- Federally Qualified Health Center (FQHC)
- Marshall, MN
- NPI 1740944602
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- Federally Qualified Health Center (FQHC)
- Brookings, SD
- NPI 1386254191
-
- Federally Qualified Health Center (FQHC)
- Presho, SD
- NPI 1528071297
-
- Federally Qualified Health Center (FQHC)
- Mitchell, SD
- NPI 1669027678
-
- Federally Qualified Health Center (FQHC)
- Kennebec, SD
- NPI 1740669381
-
- Federally Qualified Health Center (FQHC)
- Onida, SD
- NPI 1992793616
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.