KAITLIN HELDER PA-C
NPI 1144638453
Physician Assistant in Sioux Falls, SD

Active since July 30, 2014PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
4405 E 26TH ST, SIOUX FALLS, SD 57103(605) 332-2883(605) 328-9001 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2024, Jul 21, 2022, Aug 29, 2017 (3 updates tracked since 2017).

About Kaitlin Helder Pa-c NPPES

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

KAITLIN HELDER PA-C (NPI 1144638453) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (1087) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1144638453
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLIN HELDERCredential: PA-C
Location Address4405 E 26TH STSioux Falls, SD 57103-4187
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · Fax (605) 328-9001
Fax(605) 328-9001
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 30, 2014
Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1144638453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in SD · 1087 Licensed in WA · PA60485695
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.
4405 E 26TH ST, Sioux Falls, SD 57103

Other Identifiers 1

Medicaid2038486WA

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

Kaitlin Helder 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 ID1951528231
PECOS Enrollment IDI20171018002687
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 2

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.
31 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57103 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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Student in an Organized Health Care Education/Training Program
4405 E 26TH ST
SIOUX FALLS, SD 57103
Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103
Physician Assistant
4405 E 26TH ST
SIOUX FALLS, SD 57103
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103

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 Kaitlin Helder's NPI number?

The NPI number for Kaitlin Helder is 1144638453. It was assigned to this individual provider in the NPPES registry on July 30, 2014.

Where is Kaitlin Helder located?

Kaitlin Helder practices at 4405 E 26th St, Sioux Falls, SD 57103. The listed phone number is (605) 332-2883.

What is Kaitlin Helder's specialty?

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

Is Kaitlin Helder enrolled in Medicare?

Yes. Kaitlin Helder 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 Kaitlin Helder accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Kaitlin Helder 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 Kaitlin Helder affiliated with any hospitals?

According to CMS data, Kaitlin Helder is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Kaitlin Helder was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.