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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA RENAE WAHLGREN
NPI 1194429167
Internal Medicine in Sioux Falls, SD

Active since March 27, 2023PECOS Enrolled
1321 W 22ND ST, SIOUX FALLS, SD 57105(605) 404-4000 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Jessica Renae Wahlgren NPPES

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

JESSICA RENAE WAHLGREN (NPI 1194429167) is an individual internal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (18835) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1194429167
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJESSICA RENAE WAHLGREN
Location Address1321 W 22ND STSioux Falls, SD 57105-1502
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9529 · Fax (605) 312-9802
Phone(605) 404-4000
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1194429167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SD · 18835
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1321 W 22ND ST, Sioux Falls, SD 57105
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Secondary Practice Location 1

Location 1101 W 8th AveSpokane, WA 99204-2307 · Phone (509) 474-3131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Renae Wahlgren 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
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.

HALEY ASHLYN GALLMAN
Dietitian, Registered
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4319
KEERTHI BANSAL
Allergy & Immunology
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
DEREK LEE MD
Internal Medicine
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
DR. JENNA DONELLE GASSMAN DO
Internal Medicine
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
MRS. SARA ASHLEY JARES CSW-PIP
Social Worker (Clinical)
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
ELIZABETH LUKETICH PA
Physician Assistant
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
KRISTA LYNN HUNSTAD APRN
Nurse Practitioner
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
ASHLEY NIERMAN CSW
Social Worker (Clinical)
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-5350

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 Jessica Wahlgren's NPI number?

The NPI number for Jessica Wahlgren is 1194429167. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Jessica Wahlgren located?

Jessica Wahlgren practices at 1321 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 404-4000.

What is Jessica Wahlgren's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jessica Wahlgren enrolled in Medicare?

Yes. Jessica Wahlgren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Wahlgren was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.