KATY JEAN JONES CNP
NPI 1033638291
Nurse Practitioner - Family in Spearfish, SD
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Katy Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spearfish, SD 57783
- Reassigned Medicare billing, South Dakota and Wyoming enrollments
- 321 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monument Health Spearfish Hospital
Acute Care Hospitals · Spearfish, SDMonument Health Lead-Deadwood Hospital
Critical Access Hospitals · Deadwood, SDCampbell County Health
Acute Care Hospitals · Gillette, WYPhysician 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.
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.
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.
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.
Which organization bills Medicare for Katy Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katy Jones reassigns Medicare benefits to Monument Health Network, Inc. (Spearfish, SD). The 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 Katy Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katy Jones accept?
Health plans from Avera Health Plans, Blue Cross Blue Shield of Wyoming, Oscar Insurance Company, Sanford Health Plan and UnitedHealthcare and 1 other insurer 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, Monument Health Lead-Deadwood Hospital and Campbell County Health.
When was this NPI record last updated?
The NPPES record for Katy Jones was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Katy Jean Jones, CNP · NPI 1033638291
Family physician in Spearfish, South Dakota. Individual provider, active in the CMS NPPES registry since September 19, 2017.
## Identity
- **NPI:** 1033638291 (Entity type: Individual)
- **Enumerated:** September 19, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CP001270 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1445 NORTH AVE, Spearfish, SD 57783-1552
- **Phone:** (605) 644-4170
## 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:** Monument Health Network, Inc. (NPI 1902285828, Spearfish, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033638291) · Data from the CMS NPPES public registry.