MRS. DONNA LYNN SEBESTA CNP
NPI 1003957481
Nurse Practitioner - Family in Sioux Falls, SD
About Mrs. Donna Lynn Sebesta Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DONNA LYNN SEBESTA CNP (NPI 1003957481) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000367) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and maintains a secondary practice location in Webster.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Donna Lynn Sebesta Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Donna Sebesta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57108
- Reassigned Medicare billing, South Dakota enrollment
- 52 clinicians in this Medicare group
Canton, SD 57013
- Reassigned Medicare billing, South Dakota enrollment
- Also billed through NPI 1831103449 (South Dakota)
- 422 clinicians in this Medicare group
Marion, SD 57043
- Reassigned Medicare billing, South Dakota enrollment
- 36 clinicians in this Medicare group
Watertown, SD 57201
- Reassigned Medicare billing, South Dakota enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prairie Lakes Healthcare System, Inc
Acute Care Hospitals · Watertown, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Donna Sebesta's NPI number?
The NPI number for Donna Sebesta is 1003957481. It was assigned to this individual provider in the NPPES registry on February 9, 2007.
Where is Donna Sebesta located?
Donna Sebesta practices at 1900 S Grandview Ave, Sioux Falls, SD 57103. The listed phone number is (605) 371-3436.
What is Donna Sebesta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Donna Sebesta enrolled in Medicare?
Yes. Donna Sebesta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Donna Sebesta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Sebesta reassigns Medicare benefits to 4 organizations: Heart Hospital Of South Dakota LLC (Sioux Falls, SD), Sanford Health Network (Canton, SD), Freeman Regional Health Services (Marion, SD) and Prairie Lakes Health Care System Inc (Watertown, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Sebesta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Sebesta accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 4 other insurers list Donna Sebesta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Donna Sebesta affiliated with any hospitals?
According to CMS data, Donna Sebesta is affiliated with Prairie Lakes Healthcare System, Inc.
When was this NPI record last updated?
The NPPES record for Donna Sebesta was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Donna Lynn Sebesta, CNP · NPI 1003957481
Family physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since February 9, 2007.
## Identity
- **NPI:** 1003957481 (Entity type: Individual)
- **Enumerated:** February 9, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CP000367 (South Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1900 S GRANDVIEW AVE, Sioux Falls, SD 57103-4153
- **Phone:** (605) 371-3436
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Heart Hospital Of South Dakota LLC (NPI 1023003969, Sioux Falls, SD); Sanford Health Network (NPI 1033140454, Canton, SD); Freeman Regional Health Services (NPI 1740570076, Marion, SD); Prairie Lakes Health Care System Inc (NPI 1396525143, Watertown, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003957481) · Data from the CMS NPPES public registry.