WHITNEY SOMBKE
NPI 1275204265
Nurse Practitioner - Family in Aberdeen, SD
About Whitney Sombke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITNEY SOMBKE (NPI 1275204265) is an individual family provider in Aberdeen, South Dakota, licensed in South Dakota (CP002155) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and maintains a secondary practice location in Watertown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Whitney Sombke 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera St Lukes
Acute Care Hospitals · Aberdeen, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Whitney Sombke's NPI number?
The NPI number for Whitney Sombke is 1275204265. It was assigned to this individual provider in the NPPES registry on September 21, 2021.
Where is Whitney Sombke located?
Whitney Sombke practices at 3015 3rd Ave SE, Aberdeen, SD 57401. The listed phone number is (605) 226-5500.
What is Whitney Sombke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Whitney Sombke enrolled in Medicare?
Yes. Whitney Sombke 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 Whitney Sombke accept?
Health plans from Avera Health Plans and Medica list Whitney Sombke 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 Whitney Sombke affiliated with any hospitals?
According to CMS data, Whitney Sombke is affiliated with Avera St Lukes.
When was this NPI record last updated?
The NPPES record for Whitney Sombke was last updated on July 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
