TONYA COLE ELLINGSON FNP
NPI 1043788029
Nurse Practitioner - Family in Sioux Falls, SD

Q: What is Tonya Ellingson's NPI number?

The NPI number for Tonya Ellingson is 1043788029. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Q: What is Tonya Ellingson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tonya Ellingson was last updated on April 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 07, 2018PECOS EnrolledAccepts Medicare Assignment

1301 S CLIFF AVE STE 610, SIOUX FALLS, SD 57105(605) 322-8860(605) 322-4801 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2019, Nov 7, 2018 (2 updates tracked since 2018).

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About Tonya Cole Ellingson Fnp NPPES

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

TONYA COLE ELLINGSON FNP (NPI 1043788029) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001490) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043788029

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTONYA COLE ELLINGSONCredential: FNP

Location Address1301 S CLIFF AVE STE 610Sioux Falls, SD 57105-1032

Mailing Address1301 S Cliff Ave Ste 610Sioux Falls, SD 57105-1032 · (605) 322-8860 · Fax (605) 322-4801

Phone(605) 322-8860

Fax(605) 322-4801

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 7, 2018

Last NPPES UpdateApril 26, 20192 updates tracked since enumeration

✔ NPI 1043788029 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 · CP001490

1301 S CLIFF AVE STE 610, Sioux Falls, SD 57105

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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

Tonya Cole Ellingson Fnp 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 ID7911245055

PECOS Enrollment IDI20190214001692

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 3

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

67 services67 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services38 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.

23 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160112

Location1200 1st Avenue EastSpencer, IA 51301 · Clay County

Emergency services Birthing friendly

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160124

Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County

Emergency services Birthing friendly

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430012

Location501 Summit StYankton, SD 57078 · Yankton County

Emergency services Birthing friendly

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number430014

Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County

Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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.

Other Providers at the Same Location NPPES 9

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

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