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KATIE TETZLAFF PA-C
NPI 1104371897
Physician Assistant in Brookings, SD

Active since August 23, 2016PECOS EnrolledAccepts Medicare Assignment
400 22ND AVE, BROOKINGS, SD 57006(605) 697-9500 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2021, Jun 30, 2021, Oct 31, 2018 and 2 more (5 updates tracked since 2016).

About Katie Tetzlaff Pa-c NPPES

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

KATIE TETZLAFF PA-C (NPI 1104371897) is an individual physician assistant in Brookings, South Dakota, licensed in South Dakota (1294) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Brookings Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104371897
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE TETZLAFFCredential: PA-C
Location Address400 22ND AVEBrookings, SD 57006-2450
Mailing Address400 22nd AveBrookings, SD 57006-2450
Phone(605) 697-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 23, 2016
Last NPPES UpdateJuly 16, 20215 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1104371897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SD · 1294
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 22ND AVE, Brookings, SD 57006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.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

Katie Tetzlaff Pa-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 ID6800175407
PECOS Enrollment IDI20210421001753
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 6

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
26 services24 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
23 services20 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
22 services17 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
16 services15 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
15 services14 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Brookings Health System

Acute Care Hospitals · Brookings, SD
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number430008
Location300 22nd AveBrookings, SD 57006 · Brookings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57006 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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 3

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
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$175.35 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.

AVERA MCKENNAN
Clinical Medical Laboratory
400 22ND AVE
BROOKINGS, SD 57006
Brookings County (605) 697-9500
NEPHI JONES DPM
Podiatrist (Foot & Ankle Surgery)
400 22ND AVE
BROOKINGS, SD 57006
Brookings County (605) 697-9500
DR. ROBERT RIETZ MD
Otolaryngology
400 22ND AVE
BROOKINGS, SD 57006
Brookings County (605) 697-9500
DR. JILL D KRUSE DO
Family Medicine
400 22ND AVE
BROOKING, SD 57006
Brookings County (605) 697-9500
MS. SANDRA M. KUTSCHER PT
Physical Therapist
400 22ND AVE
BROOKINGS, SD 57006
Brookings County (605) 697-9500
CITY OF BROOKINGS
Clinic/Center (Multi-Specialty)
400 22ND AVE
BROOKINGS, SD 57006
Brookings County (605) 697-9500
MEGAN LYNN HADLEY PA-C
Physician Assistant
400 22ND AVE
BROOKINGS, SD 57006
Brookings County (605) 697-9500
KIP A KLUDT PT
Physical Therapist
400 22ND AVE
BROOKINGS, SD 57006
Brookings County (605) 697-9500

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 Katie Tetzlaff's NPI number?

The NPI number for Katie Tetzlaff is 1104371897. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Katie Tetzlaff located?

Katie Tetzlaff practices at 400 22nd Ave, Brookings, SD 57006. The listed phone number is (605) 697-9500.

What is Katie Tetzlaff's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Tetzlaff enrolled in Medicare?

Yes. Katie Tetzlaff 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 Katie Tetzlaff accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Katie Tetzlaff 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 Katie Tetzlaff affiliated with any hospitals?

According to CMS data, Katie Tetzlaff is affiliated with Brookings Health System.

When was this NPI record last updated?

The NPPES record for Katie Tetzlaff was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.