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RACHEL WOLKOW
NPI 1245864693
Nurse Practitioner in Sioux Falls, SD

Active since February 25, 2020PECOS EnrolledAccepts Medicare Assignment
1301 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-8860 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rachel Wolkow NPPES

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

RACHEL WOLKOW (NPI 1245864693) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001732) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245864693
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL WOLKOW
Location Address1301 S CLIFF AVESioux Falls, SD 57105-1005
Mailing Address4405 W Shipton StSioux Falls, SD 57108-6019
Phone(605) 322-8860
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 25, 2020
✔ NPI 1245864693 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 · CP001732
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 S CLIFF AVE, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Rachel Wolkow 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 ID1557799632
PECOS Enrollment IDI20200324001929
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 6

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
192 services62 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.
130 services63 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
64 services14 patients
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.
55 services32 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
33 services23 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

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 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.

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.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier32 claims2,960 services$0.37 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims150 services$7.23 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier22 claims1,062 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims1,440 services$0.38 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.

PAUL STAMP NP-C
Nurse Practitioner (Family)
1301 S CLIFF AVE, SUITE 610
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8860
DR. ERIN ELIZABETH QUIST M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE, SUITE 700
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7200
BIRGIT MARTHA HEEREN CNP
Nurse Practitioner
1301 S CLIFF AVE, STE. 601
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6930
WILLIAM R ROSSING MD
Psychiatry & Neurology (Neurology)
1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-0844
DR. DREW LOUIS KLINKEBIEL PHARM.D.
Pharmacist
1301 S CLIFF AVE, SUITE 400
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5750
KACY PETERSON DCLS
Pathology (Clinical Laboratory Director, Non-physician)
1301 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7068
DR. ERIK EHLI PHD
Registered Nurse
1301 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5976
DR. VICTORIA L. KNUDSEN M.D.
Ophthalmology (Retina Specialist)
1301 S CLIFF AVE, SUITE 220
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3790

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 Rachel Wolkow's NPI number?

The NPI number for Rachel Wolkow is 1245864693. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Rachel Wolkow located?

Rachel Wolkow practices at 1301 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-8860.

What is Rachel Wolkow's specialty?

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

Is Rachel Wolkow enrolled in Medicare?

Yes. Rachel Wolkow 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 Rachel Wolkow accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Rachel Wolkow 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 Rachel Wolkow affiliated with any hospitals?

According to CMS data, Rachel Wolkow is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Rachel Wolkow was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.