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APRIL MARIE BENINGA DNP, FNP-C
NPI 1083017560
Nurse Practitioner - Family in Sioux Falls, SD

Active since September 29, 2014PECOS EnrolledAccepts Medicare Assignment
1200 S 7TH AVE, SIOUX FALLS, SD 57105(605) 336-2140(605) 336-1677 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 15, 2022, Nov 23, 2020 (2 updates tracked since 2020).

About April Marie Beninga Dnp, Fnp-c NPPES

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

APRIL MARIE BENINGA DNP, FNP-C (NPI 1083017560) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000898) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083017560
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAPRIL MARIE BENINGACredential: DNP, FNP-C
Location Address1200 S 7TH AVESioux Falls, SD 57105-0900
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0900 · (605) 336-2140 · Fax (605) 336-1677
Phone(605) 336-2140
Fax(605) 336-1677
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 29, 2014
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1083017560 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 · CP000898
1200 S 7TH AVE, 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

April Marie Beninga Dnp, Fnp-c 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 ID4688996853
PECOS Enrollment IDI20141126000248
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 4

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 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.
393 services170 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 patients
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.
72 services67 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
24 services21 patients

Hospital Affiliations CMS Care Compare 2

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

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims36 services$5.49 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$35.57 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier12 claims12 services$86.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier12 claims34 services$31.91 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims59 services$2.22 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers13 claims13 services$16.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GREGG HARVISON M.D.
Family Medicine
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
PATRICK MCGREEVY M.D.
Surgery
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
DARREL JOHNSON PA-C
Physician Assistant (Medical)
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
KAREN HEILING M.D.
Family Medicine
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
MICHAEL ELLIOTT M.D.
Pediatrics
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
AVERA MCKENNAN
Clinic/Center (Multi-Specialty)
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 782-8307
GILBERT ENGLISH M.D.
Obstetrics & Gynecology
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
ROBERT WENGER M.D.
Family Medicine
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140

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 April Beninga's NPI number?

The NPI number for April Beninga is 1083017560. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is April Beninga located?

April Beninga practices at 1200 S 7th Ave, Sioux Falls, SD 57105. The listed phone number is (605) 336-2140.

What is April Beninga's specialty?

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

Is April Beninga enrolled in Medicare?

Yes. April Beninga 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 April Beninga 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 April Beninga 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 April Beninga affiliated with any hospitals?

According to CMS data, April Beninga is affiliated with Avera Mckennan Hospital & University Health Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for April Beninga was last updated on April 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.