MARICIA JOY PRONK PA-C
NPI 1194122713
Physician Assistant in Pipestone, MN

Active since November 25, 2014PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
916 4TH AVE SW, PIPESTONE, MN 56164(507) 825-5811 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maricia Joy Pronk Pa-c NPPES

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

MARICIA JOY PRONK PA-C (NPI 1194122713) is an individual physician assistant in Pipestone, Minnesota, licensed in Minnesota (11748) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Pipestone County Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194122713
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARICIA JOY PRONKCredential: PA-C
Location Address916 4TH AVE SWPipestone, MN 56164-1890
Mailing Address916 4th Ave SwPipestone, MN 56164-1890 · (507) 825-5811
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 25, 2014
Last NPPES UpdateOctober 8, 2015
NPI 1194122713 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 MN · 11748
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.
916 4TH AVE SW, Pipestone, MN 56164

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

Maricia Joy Pronk 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 ID9335465715
PECOS Enrollment IDI20150302001138
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 2

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

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN
OwnershipGovernment - Local
CMS Certification Number241374
Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County
Emergency services

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 56164 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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
2 suppliers16 claims16 services$118.80 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.

General Acute Care Hospital (Critical Access)
916 4TH AVE SW
PIPESTONE, MN 56164
Family Medicine
916 4TH AVE SW
PIPESTONE, MN 56164
Health Educator
916 4TH AVE SW
PIPESTONE, MN 56164
General Acute Care Hospital (Critical Access)
916 4TH AVE SW
PIPESTONE, MN 56164
Pharmacist
916 4TH AVE SW
PIPESTONE, MN 56164
Dietitian, Registered
916 4TH AVE SW
PIPESTONE, MN 56164
Physician Assistant
916 4TH AVE SW
PIPESTONE, MN 56164
Social Worker (Clinical)
916 4TH AVE SW
PIPESTONE, MN 56164

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 Maricia Pronk's NPI number?

The NPI number for Maricia Pronk is 1194122713. It was assigned to this individual provider in the NPPES registry on November 25, 2014.

Where is Maricia Pronk located?

Maricia Pronk practices at 916 4th Ave SW, Pipestone, MN 56164. The listed phone number is (507) 825-5811.

What is Maricia Pronk's specialty?

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

Is Maricia Pronk enrolled in Medicare?

Yes. Maricia Pronk 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 Maricia Pronk 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 1 other insurer list Maricia Pronk 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 Maricia Pronk affiliated with any hospitals?

According to CMS data, Maricia Pronk is affiliated with Pipestone County Medical Center and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Maricia Pronk was last updated on October 8, 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.