LORI ROSE LAWSON
NPI 1104228410
Nurse Practitioner in Sioux Falls, SD

Active since September 17, 2014PECOS EnrolledAccepts Medicare Assignment
1301 S CLIFF AVE STE 506, SIOUX FALLS, SD 57105(605) 504-0100 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lori Rose Lawson NPPES

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

LORI ROSE LAWSON (NPI 1104228410) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000900) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104228410
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORI ROSE LAWSON
Location Address1301 S CLIFF AVE STE 506Sioux Falls, SD 57105-1023
Mailing AddressPo Box 5116Sioux Falls, SD 57117-5116 · (605) 331-5890
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 17, 2014
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1104228410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SD · CP000900
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1301 S CLIFF AVE STE 506, Sioux Falls, SD 57105

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

Lori Rose Lawson 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 ID9931421294
PECOS Enrollment IDI20141124001176
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

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.
38 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

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

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$116.54 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$37.81 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 13

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

Nurse Practitioner (Family)
1301 S CLIFF AVE STE 506
SIOUX FALLS, SD 57105
Physician Assistant
1301 S CLIFF AVE STE 506
SIOUX FALLS, SD 57105
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
1301 S CLIFF AVE STE 506
SIOUX FALLS, SD 57105
Psychiatry & Neurology (Neurology)
1301 S CLIFF AVE STE 506
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 S CLIFF AVE STE 506
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 S CLIFF AVE STE 506
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 S CLIFF AVE STE 506
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 S CLIFF AVE STE 506
SIOUX FALLS, SD 57105

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 Lori Lawson's NPI number?

The NPI number for Lori Lawson is 1104228410. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Lori Lawson located?

Lori Lawson practices at 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105. The listed phone number is (605) 504-0100.

What is Lori Lawson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lori Lawson enrolled in Medicare?

Yes. Lori Lawson 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 Lori Lawson accept?

Health plans from Avera Health Plans and Medica list Lori Lawson 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 Lori Lawson affiliated with any hospitals?

According to CMS data, Lori Lawson is affiliated with Spencer Municipal Hospital, Avera Marshall Regional Medical Ctr, Avera Mckennan Hospital & University Health Center and Avera Heart Hospital Of South Dakota.

When was this NPI record last updated?

The NPPES record for Lori Lawson was last updated on October 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.