KATY JEAN JONES CNP
NPI 1033638291
Nurse Practitioner - Family in Spearfish, SD

Active since September 19, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1445 NORTH AVE, SPEARFISH, SD 57783(605) 644-4170 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katy Jean Jones Cnp NPPES

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

KATY JEAN JONES CNP (NPI 1033638291) is an individual family provider in Spearfish, South Dakota, licensed in South Dakota (CP001270) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1033638291
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATY JEAN JONESCredential: CNP
Location Address1445 NORTH AVESpearfish, SD 57783-1552
Mailing Address1440 North Main, Attn: Audra Nelson-baileySpearfish, SD 57783 · (605) 644-4431
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 19, 2017
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
NPI 1033638291 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 · CP001270
1445 NORTH AVE, Spearfish, SD 57783

Accepted 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

Katy Jean Jones 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 ID8022375526
PECOS Enrollment IDI20171207001728, I20210608002331
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Lead-Deadwood Hospital

Critical Access Hospitals · Deadwood, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431320
Location61 Charles StreetDeadwood, SD 57732 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Audiologist
1445 NORTH AVE
SPEARFISH, SD 57783
Family Medicine
1445 NORTH AVE, SUITE 2
SPEARFISH, SD 57783
Obstetrics & Gynecology
1445 NORTH AVE
SPEARFISH, SD 57783
General Acute Care Hospital
1445 NORTH AVE
SPEARFISH, SD 57783
Obstetrics & Gynecology
1445 NORTH AVE
SPEARFISH, SD 57783
Surgery
1445 NORTH AVE
SPEARFISH, SD 57783
Pediatrics
1445 NORTH AVE
SPEARFISH, SD 57783
Nurse Practitioner (Family)
1445 NORTH AVE
SPEARFISH, SD 57783

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 Katy Jones's NPI number?

The NPI number for Katy Jones is 1033638291. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Katy Jones located?

Katy Jones practices at 1445 North Ave, Spearfish, SD 57783. The listed phone number is (605) 644-4170.

What is Katy Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katy Jones enrolled in Medicare?

Yes. Katy Jones 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 Katy Jones accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Katy Jones 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 Katy Jones affiliated with any hospitals?

According to CMS data, Katy Jones is affiliated with Monument Health Spearfish Hospital and Monument Health Lead-Deadwood Hospital.

When was this NPI record last updated?

The NPPES record for Katy Jones was last updated on March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.