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DR. STACY KRISTIN KOTALIK CNP
NPI 1164967774
Nurse Practitioner - Family in Yankton, SD

Active since January 05, 2017PECOS EnrolledAccepts Medicare Assignment
409 SUMMIT ST STE 2500, YANKTON, SD 57078(605) 655-1710(605) 655-1711 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2018, Jan 5, 2017 (2 updates tracked since 2017).

About Dr. Stacy Kristin Kotalik Cnp NPPES

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

DR. STACY KRISTIN KOTALIK CNP (NPI 1164967774) is an individual family provider in Yankton, South Dakota, licensed in South Dakota (CP001147) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Avera Creighton Hospital, and maintains a secondary practice location in Yankton.

NPPES Registry Identity

NPI1164967774
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. STACY KRISTIN KOTALIKCredential: CNP
Location Address409 SUMMIT ST STE 2500Yankton, SD 57078-3739
Mailing Address1104 W 8th StYankton, SD 57078-3306 · (605) 665-7841 · Fax (605) 665-0546
Phone(605) 655-1710
Fax(605) 655-1711
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 5, 2017
Last NPPES UpdateNovember 30, 20182 updates tracked since enumeration
✔ NPI 1164967774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP001147
409 SUMMIT ST STE 2500, Yankton, SD 57078
Open in Google Maps ↗

Secondary Practice Location 1

Location 11104 W 8th StYankton, SD 57078-3306 · Phone (605) 665-7841 · Fax (605) 665-0546

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Stacy Kristin Kotalik 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 ID8325324312
PECOS Enrollment IDI20170405001066
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 Reassignment

Medicare enrollment records show Stacy Kotalik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sacred Heart Health Services
Same address
Wound Care
409 SUMMIT ST STE 2500
Yankton, SD 57078
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
NPI 1194228817 (605) 655-1710

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
416 services92 patients
Application of vein wound compression bandages on lower leg, ankle, and foot 29581
Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.
242 services36 patients
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.
179 services72 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
123 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
99 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Avera Creighton Hospital

Critical Access Hospitals · Creighton, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281331
LocationP O Box 186, 1503 Main StCreighton, NE 68729 · Knox County
Emergency services

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430012
Location501 Summit StYankton, SD 57078 · Yankton County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57078 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

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

SACRED HEART HEALTH SERVICES
Registered Nurse (Wound Care)
409 SUMMIT ST STE 2500
YANKTON, SD 57078
Cedar County (605) 655-1710

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 Stacy Kotalik's NPI number?

The NPI number for Stacy Kotalik is 1164967774. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Where is Stacy Kotalik located?

Stacy Kotalik practices at 409 Summit St Ste 2500, Yankton, SD 57078. The listed phone number is (605) 655-1710.

What is Stacy Kotalik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Kotalik enrolled in Medicare?

Yes. Stacy Kotalik 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 organization bills Medicare for Stacy Kotalik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Kotalik reassigns Medicare benefits to Sacred Heart Health Services (Yankton, SD). The 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 Stacy Kotalik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Kotalik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 1 other insurer list Stacy Kotalik 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 Stacy Kotalik affiliated with any hospitals?

According to CMS data, Stacy Kotalik is affiliated with Avera Creighton Hospital, Avera Sacred Heart Hospital and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Stacy Kotalik was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.