MELISSA J MAGSTADT CNP
NPI 1093794596
Nurse Practitioner - Family in Watertown, SD

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
1028 29TH ST SE, WATERTOWN, SD 57201(605) 878-2888 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2022, Mar 17, 2018, Nov 3, 2017 (3 updates tracked since 2017).

About Melissa J Magstadt Cnp NPPES

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

MELISSA J MAGSTADT CNP (NPI 1093794596) is an individual family provider in Watertown, South Dakota, licensed in South Dakota (CP000236) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093794596
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA J MAGSTADTCredential: CNP
Location Address1028 29TH ST SEWatertown, SD 57201-9120
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-7180 · Fax (605) 328-7177
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 12, 2006
Last NPPES UpdateDecember 27, 20223 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1093794596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP000236
Also ListedNurse PractitionerTaxonomy 363L00000X · License R024532 (SD)
1028 29TH ST SE, Watertown, SD 57201

Secondary Practice Locations 2

Location 1901 4th St NWWatertown, SD 57201-1565 · Phone (605) 886-8471 · Fax (605) 886-9317
Location 23015 3rd Ave SEAberdeen, SD 57401-5418 · Phone (605) 226-5500

Other Identifiers 1

Medicaid6825932SD

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

Melissa J Magstadt 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 ID8628053428
PECOS Enrollment IDI20040623001429
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Melissa Magstadt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1028 29TH ST SE
Watertown, SD 57201
  • Reassigned Medicare billing, South Dakota enrollment
  • 2 clinicians in this Medicare group
Acute Care
1056 29TH ST SE
Watertown, SD 57201
  • Reassigned Medicare billing, South Dakota enrollment
  • 10 clinicians in this Medicare group
Family Medicine
1028 29TH ST SE
Watertown, SD 57201
  • Reassigned Medicare billing, South Dakota enrollment
  • 2 clinicians in this Medicare group
Rural Health
701 3RD AVE S
Clear Lake, SD 57226
  • Reassigned Medicare billing, South Dakota enrollment
  • 422 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

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.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57201 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 3

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

Family Medicine
1028 29TH ST SE
WATERTOWN, SD 57201
Family Medicine
1028 29TH ST SE
WATERTOWN, SD 57201
Dietetic Technician, Registered
1028 29TH ST SE
WATERTOWN, SD 57201

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 Melissa Magstadt's NPI number?

The NPI number for Melissa Magstadt is 1093794596. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Melissa Magstadt located?

Melissa Magstadt practices at 1028 29th St SE, Watertown, SD 57201. The listed phone number is (605) 878-2888.

What is Melissa Magstadt's specialty?

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

Is Melissa Magstadt enrolled in Medicare?

Yes. Melissa Magstadt 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 organizations bill Medicare for Melissa Magstadt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Magstadt reassigns Medicare benefits to 4 organizations: Simply Gorgeous, LLC (Watertown, SD), T & L Quick Care PC (Watertown, SD), Simply Gorgeous Medical Spa Prof, LLC (Watertown, SD) and Sanford Health Network (Clear Lake, SD). Each 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 Melissa Magstadt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Magstadt accept?

Health plans from Sanford Health Plan and Wellmark of South Dakota, Inc. list Melissa Magstadt 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 Melissa Magstadt affiliated with any hospitals?

According to CMS data, Melissa Magstadt is affiliated with Prairie Lakes Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Melissa Magstadt was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.