ALTHEA GROEN HOOYER
NPI 1154792539
Nurse Practitioner - Pediatrics in Sioux Falls, SD

Active since October 12, 2015PECOS Enrolled
1600 W 22ND ST, SIOUX FALLS, SD 57105(605) 312-1000(605) 312-1001 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Althea Groen Hooyer NPPES

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

ALTHEA GROEN HOOYER (NPI 1154792539) is an individual pediatrics provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000984) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154792539
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALTHEA GROEN HOOYER
Location Address1600 W 22ND STSioux Falls, SD 57105-1521
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(605) 312-1001
Sole ProprietorNo
Enumeration DateOctober 12, 2015
NPI 1154792539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in SD · CP000984
1600 W 22ND ST, 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 (PECOS)

Althea Groen Hooyer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.

Nurse Practitioner
1600 W 22ND ST
SIOUX FALLS, SD 57105
Registered Nurse (Pediatrics)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Pediatrics (Pediatric Hematology-Oncology)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Registered Nurse (Diabetes Educator)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Physician Assistant
1600 W 22ND ST
SIOUX FALLS, SD 57105
Hospitalist
1600 W 22ND ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1600 W 22ND ST
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 Althea Groen Hooyer's NPI number?

The NPI number for Althea Groen Hooyer is 1154792539. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Althea Groen Hooyer located?

Althea Groen Hooyer practices at 1600 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 312-1000.

What is Althea Groen Hooyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Althea Groen Hooyer enrolled in Medicare?

Yes. Althea Groen Hooyer is registered in the Medicare PECOS enrollment system.

What insurance does Althea Groen Hooyer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Althea Groen Hooyer 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.

When was this NPI record last updated?

The NPPES record for Althea Groen Hooyer was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.