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ASHLEY FROST CNP
NPI 1245713361
Nurse Practitioner in Sioux Falls, SD

Active since September 13, 2018PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1205 S GRANGE AVE STE 510, SIOUX FALLS, SD 57105(605) 328-8500 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2025, Sep 13, 2018 (2 updates tracked since 2018).

About Ashley Frost Cnp NPPES

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

ASHLEY FROST CNP (NPI 1245713361) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001440) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Sanford Luverne Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245713361
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameASHLEY FROSTCredential: CNP
Location Address1205 S GRANGE AVE STE 510Sioux Falls, SD 57105-0410
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 13, 2018
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1245713361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP001440
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License CP001440 (SD)
1205 S GRANGE AVE STE 510, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan 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

Ashley Frost 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 ID8123365640
PECOS Enrollment IDI20190122003211
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 Reassignments

2

Medicare enrollment records show Ashley Frost reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Nephrology
1205 S. GRANGE AVE, STE 201
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1295848521 (605) 328-8100
Sanford Medical Center
0.2 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

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 2

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.
142 services118 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.
73 services72 patients

Hospital Affiliations CMS Care Compare 4

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

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock 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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431333
Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County
Emergency services

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.

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Other Providers at the Same Location NPPES 11

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

LYNDSEY SUE HORNE
Nurse Practitioner (Family)
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
DR. MAAZ BIN BADSHAH MD
Internal Medicine
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
ANTONIOS WEHBEH M.D.
Internal Medicine (Gastroenterology)
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
BRAD MARTIN SOLOMON D.O.
Internal Medicine (Gastroenterology)
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
EMILY PAULI
Physician Assistant
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
SANFORD CLINIC
Internal Medicine (Gastroenterology)
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
ANNA CECILIA WILLET GIUSTI MD
Internal Medicine (Hepatology)
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
DR. MARK GENE LOUNSBERY D.O
Internal Medicine
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7500

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 Ashley Frost's NPI number?

The NPI number for Ashley Frost is 1245713361. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Where is Ashley Frost located?

Ashley Frost practices at 1205 S Grange Ave Ste 510, Sioux Falls, SD 57105. The listed phone number is (605) 328-8500.

What is Ashley Frost's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ashley Frost enrolled in Medicare?

Yes. Ashley Frost 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 organizations bill Medicare for Ashley Frost's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Frost reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each 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 Ashley Frost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Frost accept?

Health plans from Medica, Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Ashley Frost 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 Ashley Frost affiliated with any hospitals?

According to CMS data, Ashley Frost is affiliated with Sanford Luverne Medical Center, Avera Mckennan Hospital & University Health Center, Sanford Usd Medical Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Ashley Frost was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.