KRISTEN M LEGNER PA-C
NPI 1144269507
Physician Assistant in Sturgis, SD

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
890 LAZELLE ST, STURGIS, SD 57785(605) 720-2600(605) 720-2611 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristen M Legner Pa-c NPPES

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

KRISTEN M LEGNER PA-C (NPI 1144269507) is an individual physician assistant in Sturgis, South Dakota, licensed in South Dakota (0607) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1144269507
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN M LEGNERCredential: PA-C
Location Address890 LAZELLE STSturgis, SD 57785
Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000
Fax(605) 720-2611
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 4, 2006
Last NPPES UpdateFebruary 5, 2013
NPI 1144269507 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 · 0607
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.
890 LAZELLE ST, Sturgis, SD 57785

Other Identifiers 2

Medicare UPINQ57461SD
Medicaid6828220SD

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

Kristen M Legner 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 ID1658391958
PECOS Enrollment IDI20051201000443
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.

Hospital Affiliations CMS Care Compare 4

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Lead-Deadwood Hospital

Critical Access Hospitals · Deadwood, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431320
Location61 Charles StreetDeadwood, SD 57732 · Lawrence County
Emergency services

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57785 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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
12 suppliers49 claims138 services$6.30 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers22 claims29 services$1.04 avg. paid by Medicare
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
3 suppliers22 claims22 services$84.18 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
3 suppliers86 claims86 services$186.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.23 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 16

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

Physician Assistant
890 LAZELLE ST
STURGIS, SD 57785
Durable Medical Equipment & Medical Supplies
890 LAZELLE ST
STURGIS, SD 57785
Dietitian, Registered
890 LAZELLE ST
STURGIS, SD 57785
Physician Assistant
890 LAZELLE ST
STURGIS, SD 57785
Physician Assistant
890 LAZELLE ST
STURGIS, SD 57785
Family Medicine
890 LAZELLE ST
STURGIS, SD 57785
Physical Therapist
890 LAZELLE ST
STURGIS, SD 57785
Family Medicine
890 LAZELLE ST
STURGIS, SD 57785

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 Kristen Legner's NPI number?

The NPI number for Kristen Legner is 1144269507. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Kristen Legner located?

Kristen Legner practices at 890 Lazelle St, Sturgis, SD 57785. The listed phone number is (605) 720-2600.

What is Kristen Legner's specialty?

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

Is Kristen Legner enrolled in Medicare?

Yes. Kristen Legner 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 Kristen Legner accept?

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

According to CMS data, Kristen Legner is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Lead-Deadwood Hospital and Monument Health Sturgis Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Legner was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.