MELINDA J FROST CNP
NPI 1144296930
Nurse Practitioner in Sioux Falls, SD

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
1325 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-7905(605) 322-8414 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melinda J Frost Cnp NPPES

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

MELINDA J FROST CNP (NPI 1144296930) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000286) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1144296930
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELINDA J FROSTCredential: CNP
Location Address1325 S CLIFF AVESioux Falls, SD 57105-1007
Mailing Address2400 S Minnesota Ave, Ste 100Sioux Falls, SD 57105-3762 · (605) 322-7510 · Fax (605) 322-6475
Fax(605) 322-8414
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 23, 2006
Last NPPES UpdateDecember 20, 2013
✔ NPI 1144296930 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 · CP000286
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.
1325 S CLIFF AVE, Sioux Falls, SD 57105

Other Identifiers 21

Other92411422905MN · Primewest
OtherHP43476SD · Healthpartners
Medicare PINS42467SD
Other244214SD · Midlands Choice
Other9237766SD · Dakotacare
Medicaid6827410SD
Medicaid6827414SD
Medicaid871496700MN
Medicare PINS106084SD
Other4995296SD · Blue Cross
Medicaid46022474347NE
Other2177212SD · Araz/ America's Ppo
Other36787SD · Sanford Health Plan
Other370624200SD · Dept Of Labor
Other407141041933SD · Preferred One
Medicaid0584508IA
Other502T2FRMN · Blue Cross
Medicare UPINP44704SD
Other0118715SD · Medica
Other502T2FRMN · Cc Systems/ Blue Plus
Other57105W007SD · Wps Tricare

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

Melinda J Frost 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 ID6305814831
PECOS Enrollment IDI20040922000268
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

2

Medicare enrollment records show Melinda Frost reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Diagnostic Radiology
1325 S CLIFF AVE
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
General Acute Care Hospital
4500 W 69TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1407109705 (South Dakota)
  • 52 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.

Hospital Affiliations CMS Care Compare 3

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

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

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431340
Location525 N FosterMitchell, SD 57301 · Davison 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 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$18.47 avg. paid by Medicare
Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$45.33 avg. paid by Medicare
Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$39.42 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
4 suppliers38 claims38 services$97.91 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$35.09 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.

Hospitalist
1325 S CLIFF AVE, SUITE 4421
SIOUX FALLS, SD 57105
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Orthopaedic Surgery (Orthopaedic Trauma)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Radiology (Diagnostic Radiology)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Internal Medicine
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Hospitalist
1325 S CLIFF AVE
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 Melinda Frost's NPI number?

The NPI number for Melinda Frost is 1144296930. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Melinda Frost located?

Melinda Frost practices at 1325 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-7905.

What is Melinda Frost's specialty?

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

Is Melinda Frost enrolled in Medicare?

Yes. Melinda Frost 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 Melinda Frost's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Frost reassigns Medicare benefits to 2 organizations: Avera Mckennan (Sioux Falls, SD) and Heart Hospital Of South Dakota LLC (Sioux Falls, 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 Melinda Frost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melinda Frost accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Melinda Frost 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 Melinda Frost affiliated with any hospitals?

According to CMS data, Melinda Frost is affiliated with Avera Mckennan Hospital & University Health Center, Avera Heart Hospital Of South Dakota and Avera Queen Of Peace.

When was this NPI record last updated?

The NPPES record for Melinda Frost was last updated on December 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.