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MRS. DONNA LYNN SEBESTA CNP
NPI 1003957481
Nurse Practitioner - Family in Sioux Falls, SD

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment
1900 S GRANDVIEW AVE, SIOUX FALLS, SD 57103(605) 371-3436 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 is a graduate of Other (2002).

NPPES Registry Identity

NPI1003957481
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DONNA LYNN SEBESTACredential: CNP
Location Address1900 S GRANDVIEW AVESioux Falls, SD 57103-4153
Mailing Address1900 S Grandview AvenueSioux Falls, SD 57103 · (605) 371-3436
Phone(605) 371-3436
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1003957481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP000367
1900 S GRANDVIEW AVE, Sioux Falls, SD 57103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8527055086
PECOS Enrollment IDI20040427000968
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

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, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Physician 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.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

What insurance does Donna Sebesta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 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 and Avera Heart Hospital Of South Dakota.

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 13 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.