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LAURA R WITHORNE-MALONEY CNP
NPI 1255303707
Nurse Practitioner - Family in Sioux Falls, SD

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
4400 W 69TH ST, STE 500, SIOUX FALLS, SD 57108(605) 322-7580(605) 322-7579 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura R Withorne-maloney Cnp NPPES

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

LAURA R WITHORNE-MALONEY CNP (NPI 1255303707) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000224) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1255303707
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURA R WITHORNE-MALONEYCredential: CNP
Location Address4400 W 69TH ST, STE 500Sioux Falls, SD 57108-8170
Mailing Address2400 S Minnesota Ave, Ste 100Sioux Falls, SD 57105-3761 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-7580
Fax(605) 322-7579
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 7, 2006
Last NPPES UpdateDecember 11, 2013
✔ NPI 1255303707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP000224
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License CP000224 (SD)
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 0224 (SD)
4400 W 69TH ST, Sioux Falls, SD 57108
Open in Google Maps ↗

Other Identifiers 19

Medicaid1908517IA
Other0007942SD · Blue Cross
Other22358SD · Midlands Choice
Other797890SD · Araz/ America's Ppo
Medicaid393603100MN
Other57108D008SD · Wps Tricare
Medicaid6826062SD
Other25457SD · Sanford Health Plan
Other48D58WIMN · Cc Systems/ Blue Plus
Other151768MN · Ucare
Other769191017347SD · Preferred One
OtherHP31902SD · Healthpartners
OtherP00146949SD · Rr Medicare
Medicare UPINS45966SD
Medicaid12242ND
Medicare PINS7942SD
Other9237794SD · Dakotacare
Other92411422904MN · Primewest
Medicaid46022474340NE

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

Laura R Withorne-maloney 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 ID9739199639
PECOS Enrollment IDI20060421000203
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 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.
170 services95 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.
18 services13 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 57108 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.

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.

AMBER OLSON MD
Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4005
AMANDA CHARLENE NOONAN DNP
Nurse Practitioner (Psychiatric/Mental Health)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4005
JOSHUA REIDER MD
Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5737
KARA FEISTNER FNP-C
Student in an Organized Health Care Education/Training Program
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4065
TIMOTHY JAMES SOUNDY M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5700
KYLE A DUKE PA
Physician Assistant
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4405
CANDICE K CUMMINGS LCSW, ISW
Counselor (Mental Health)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5700
DR. ANNE ELIZABETH MORSTAD PHARMD
Pharmacist
4400 W 69TH ST, SUITE 1800
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5912

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 Laura Withorne-maloney's NPI number?

The NPI number for Laura Withorne-maloney is 1255303707. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Laura Withorne-maloney located?

Laura Withorne-maloney practices at 4400 W 69th St Ste 500, Sioux Falls, SD 57108. The listed phone number is (605) 322-7580.

What is Laura Withorne-maloney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Laura Withorne-maloney enrolled in Medicare?

Yes. Laura Withorne-maloney 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 Laura Withorne-maloney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Laura Withorne-maloney 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 Laura Withorne-maloney affiliated with any hospitals?

According to CMS data, Laura Withorne-maloney is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Laura Withorne-maloney was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.