1. Home
  2. Directory
  3. South Dakota
  4. Pierre
  5. Physician Assistant
  6. NPI Profile

ALYSSA JO ETZKORN PA-C
NPI 1235780883
Physician Assistant in Pierre, SD

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
100 MAC LN, PIERRE, SD 57501(605) 945-5277(605) 945-5389 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2023, Sep 25, 2019 (2 updates tracked since 2019).

About Alyssa Jo Etzkorn Pa-c NPPES

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

ALYSSA JO ETZKORN PA-C (NPI 1235780883) is an individual physician assistant in Pierre, South Dakota, licensed in South Dakota (1218) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235780883
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA JO ETZKORNCredential: PA-C
Location Address100 MAC LNPierre, SD 57501-3391
Mailing Address102 Village DrPierre, SD 57501-2886 · (605) 222-7312
Phone(605) 945-5277
Fax(605) 945-5389
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 25, 2019
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1235780883 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 SD · 1218
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.
100 MAC LN, Pierre, SD 57501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company.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

Alyssa Jo Etzkorn 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 ID4688009459
PECOS Enrollment IDI20200124001283
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 4

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.
167 services132 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.
82 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
55 services55 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.
27 services25 patients

Hospital Affiliations CMS Care Compare

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

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57501 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers23 claims36 services$4.93 avg. paid by Medicare
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
1 supplier11 claims11 services$108.50 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$32.30 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$184.24 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.

AVERA MEDICAL GROUP
Physician Assistant
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
DANIELLE CAMPBELL FNP
Nurse Practitioner (Family)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
DR. NICOLE MARIE POPPINGA M.D.
Pediatrics
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 945-5246
DR. DANIEL R RASMUSSEN DO
Physical Medicine & Rehabilitation
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
JULIE ANN COX CNP
Nurse Practitioner (Family)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
ERICKA LESLIE PETERSEN CNP
Nurse Practitioner (Family)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901
DIAGNOSTIC TECHNICAL SERVICES LLC
Clinical Medical Laboratory
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 977-5000
AVERA MCKENNAN
Clinic/Center (Ambulatory Surgical)
100 MAC LN
PIERRE, SD 57501
Hughes County (605) 224-5901

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 Alyssa Etzkorn's NPI number?

The NPI number for Alyssa Etzkorn is 1235780883. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Alyssa Etzkorn located?

Alyssa Etzkorn practices at 100 Mac Ln, Pierre, SD 57501. The listed phone number is (605) 945-5277.

What is Alyssa Etzkorn's specialty?

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

Is Alyssa Etzkorn enrolled in Medicare?

Yes. Alyssa Etzkorn 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 Alyssa Etzkorn accept?

Health plans from Avera Health Plans, Medica and Oscar Insurance Company list Alyssa Etzkorn 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 Alyssa Etzkorn affiliated with any hospitals?

According to CMS data, Alyssa Etzkorn is affiliated with Avera St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Alyssa Etzkorn was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.