ASHLEY SORENSON
NPI 1245829282
Nurse Practitioner in Sioux Falls, SD

Active since January 14, 2021PECOS EnrolledAccepts Medicare Assignment
83.57/100
CMS Quality Rating
1301 W 18TH ST, SIOUX FALLS, SD 57105(605) 333-1500 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2021, Jan 14, 2021 (2 updates tracked since 2021).

About Ashley Sorenson NPPES

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

ASHLEY SORENSON (NPI 1245829282) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001933) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245829282
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameASHLEY SORENSON
Location Address1301 W 18TH STSioux Falls, SD 57105-0401
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 14, 2021
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
NPI 1245829282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SD · CP001933
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.
1301 W 18TH ST, Sioux Falls, SD 57105

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

Ashley Sorenson 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 ID2466868963
PECOS Enrollment IDI20210308002702, I20210608000595
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

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

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

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.

83.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.07
Promoting Interoperability98
Improvement Activities40
Cost50.83

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.

Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Physician Assistant
1301 W 18TH ST
SIOUX FALLS, SD 57105

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 Sorenson's NPI number?

The NPI number for Ashley Sorenson is 1245829282. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Ashley Sorenson located?

Ashley Sorenson practices at 1301 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 333-1500.

What is Ashley Sorenson's specialty?

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

Is Ashley Sorenson enrolled in Medicare?

Yes. Ashley Sorenson 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 Ashley Sorenson accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Ashley Sorenson 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 Sorenson affiliated with any hospitals?

According to CMS data, Ashley Sorenson is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Ashley Sorenson was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.