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EMMA KOETTER
NPI 1013724095
Physician Assistant in Rapid City, SD

Active since December 13, 2024PECOS Enrolled
353 FAIRMONT BLVD, RAPID CITY, SD 57701(513) 575-6547 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Jan 3, 2025, Dec 13, 2024 (3 updates tracked since 2024).

About Emma Koetter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMA KOETTER (NPI 1013724095) is an individual physician assistant in Rapid City, South Dakota and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013724095
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMA KOETTER
Location Address353 FAIRMONT BLVDRapid City, SD 57701-7375
Mailing Address6470 Receda StRapid City, SD 57703-8738 · (513) 575-6547
Phone(513) 575-6547
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 13, 2024
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1013724095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
353 FAIRMONT BLVD, Rapid City, SD 57701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Koetter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173013489
PECOS Enrollment IDI20251105003128
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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 719-1000
CLIFF JANIKOWSKI
Internal Medicine (Pulmonary Disease)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
MARIA SARGENT CNP
Nurse Practitioner
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
ABIGAIL RENN RD LN
Dietitian, Registered
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-4755
ALYSSA BRYANT
Pharmacist
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 690-3996
JARRETT JAMES FOWLER PA
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
DR. KYLE W GIFFORD MD
Internal Medicine
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
EMILY CATHERINE HORNING PA-C
Physician Assistant (Medical)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-4300

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 Emma Koetter's NPI number?

The NPI number for Emma Koetter is 1013724095. It was assigned to this individual provider in the NPPES registry on December 13, 2024.

Where is Emma Koetter located?

Emma Koetter practices at 353 Fairmont Blvd, Rapid City, SD 57701. The listed phone number is (513) 575-6547.

What is Emma Koetter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emma Koetter enrolled in Medicare?

Yes. Emma Koetter is registered in the Medicare PECOS enrollment system.

What insurance does Emma Koetter accept?

Health plans from Oscar Insurance Company list Emma Koetter 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 Emma Koetter affiliated with any hospitals?

According to CMS data, Emma Koetter is affiliated with Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Emma Koetter was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.