MEREDITH L HUNHOFF CNP
NPI 1275885758
Nurse Practitioner - Family in Dakota Dunes, SD

NPI Status: Active since October 09, 2012

Contact Information

101 TOWER RD STE 103
DAKOTA DUNES, SD
ZIP 57049
Phone: (605) 217-7246
Fax: (605) 217-4878

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  • Individual
  • Female
  • Years of Experience 13
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MEREDITH HUNHOFF

Meredith Hunhoff is a provider established in Dakota Dunes, South Dakota and her medical specialization is Nurse Practitioner with a focus in family with more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1275885758 assigned on October 2012. The practitioner's primary taxonomy code is 363LF0000X with license number CP000732 (SD). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1275885758
Provider Name
MEREDITH L HUNHOFF CNP
Gender
Female
Entity Type
Individual
Location Address
101 TOWER RD STE 103 DAKOTA DUNES, SD 57049
Location Phone
(605) 217-7246
Location Fax
(605) 217-4878
Mailing Address
101 TOWER RD STE 103 DAKOTA DUNES, SD 57049
Mailing Phone
(605) 217-7246
Mailing Fax
(605) 217-4878
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
10-09-2012
Last Update Date
03-17-2018
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A nurse practitioner (NP) like Meredith Hunhoff is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Meredith Hunhoff is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.06 for a new patient copayment and $25.6 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CP000732
License State
SD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Avera Health Plans

    • Avera $1800 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $2000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $4000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $5200 HSA Eigible HDHP - PPO
    • Avera $5200 HSA Eligilble HDHP - PPO
    • Avera $5800 - PPO
    • Avera $6800 Medical Deductible with $50 Rx Deductible - PPO
    • Avera $7500 HSA Eigible HDHP - PPO
    • Avera $7500 HSA Eligible HDHP - PPO
    • Avera $9450 - PPO
  • Blue Cross and Blue Shield of Nebraska

    • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • Medica

    • Medica Individual Choice Bronze Copay $0 PCP - HMO
    • Medica Individual Choice Bronze Share Plus - HMO
    • Medica Individual Choice Bronze Standard - HMO
    • Medica Individual Choice Catastrophic - HMO
    • Medica Individual Choice Expanded Bronze Standard - HMO
    • Medica Individual Choice Gold Copay $0 PCP - HMO
    • Medica Individual Choice Gold Standard - HMO
    • Medica Individual Choice Silver Copay $0 PCP - HMO
    • Medica Individual Choice Silver Standard - HMO
    • Medica Insure Bronze Copay - EPO
  • Oscar Health Plan, Inc.

    • Bronze Classic (Choice) - HMO
    • Bronze Classic 4700 (Choice) - HMO
    • Bronze Classic 4700 (Select) - HMO
    • Bronze Classic PCP Saver Plus Rx Copay (Choice) - HMO
    • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
    • Bronze Classic Standard (Choice) - HMO
    • Bronze Classic Standard (Select) - HMO
    • Bronze Elite + PCP Saver Plus (Choice) - HMO
    • Bronze Elite + PCP Saver Plus (Select) - HMO
    • Gold Classic Standard (Choice) - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic | MercyOne - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic 4700 | MercyOne - EPO
    • Bronze Classic PCP Saver - EPO
    • Bronze Classic PCP Saver Plus - EPO
    • Bronze Classic PCP Saver Plus | MercyOne - EPO
    • Bronze Classic Standard - EPO
    • Bronze Classic Standard | MercyOne - EPO
    • Bronze Elite + PCP Saver Plus - EPO
  • Sanford Health Plan

    • Sanford Individual Simplicity $1,750 - PPO
    • Sanford Individual Simplicity $2,800 - PPO
    • Sanford Individual Simplicity $3,500 - PPO
    • Sanford Individual Simplicity $4,750 - PPO
    • Sanford Individual Simplicity $6,000 - PPO
    • Sanford Individual Simplicity $7,000 - PPO
    • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
    • Sanford Individual Simplicity $7100 HSA Qualified - PPO
    • Sanford Individual Simplicity $9,450 - PPO
    • Sanford Individual Simplicity Enhanced Care Plan $1,250 - PPO
  • Wellmark Health Plan of Iowa, Inc.

    • Wellmark Bronze HDHP HMO - HMO
    • Wellmark Bronze HDHP HMO | Farm Bureau - HMO
    • Wellmark Bronze Traditional HMO - HMO
    • Wellmark Gold Traditional HMO - HMO
    • Wellmark Gold Traditional HMO | Farm Bureau - HMO
    • Wellmark Silver Traditional HMO - HMO
    • Wellmark Standard Bronze HMO - HMO
    • Wellmark Standard Gold HMO - HMO
    • Wellmark Standard Silver HMO - HMO
  • Wellmark of South Dakota, Inc.

    • Wellmark Bronze HDHP EPO - EPO
    • Wellmark Bronze Traditional EPO - EPO
    • Wellmark Gold Traditional EPO - EPO
    • Wellmark Silver Traditional EPO - EPO
    • Wellmark Standard Bronze EPO - EPO
    • Wellmark Standard Gold EPO - EPO
    • Wellmark Standard Silver EPO - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Meredith Hunhoff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5799936753

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20121123000000, I20170420001843

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 57049 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.26
  • Minimum New Patient Price $57.53
  • Maximum New Patient Price $173.84
  • Average New Patient Copayment $22.06
  • Minimum New Patient Copayment $14.38
  • Maximum New Patient Copayment $43.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.4
  • Minimum Established Patient Price $18.24
  • Maximum Established Patient Price $142.72
  • Average Established Patient Copayment $25.6
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.68

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 96

    Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)

  • 23

    Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Meredith Hunhoff is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
AVERA SACRED HEART HOSPITAL501 SUMMIT ST
YANKTON, SD 57078
(605) 668-8000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275885758
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214516810710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 6 + 8 + 1 + 0 + 7 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1275885758 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205857901 TODD CHRISTOPHER JOHNSON M.D.
Individual
Anesthesiology (Pain Medicine)101 TOWER RD STE 103
DAKOTA DUNES, SD 57049
(605) 217-7246
1326543703 ABBEY PAIGE BECK CRNA
Individual
Nurse Anesthetist, Certified Registered101 TOWER RD STE 103
DAKOTA DUNES, SD 57049
(605) 217-7246
1912491259 CAREY ANN BACZWASKI ARNP
Individual
Nurse Practitioner (Family)101 TOWER RD STE 103
DAKOTA DUNES, SD 57049
(605) 217-7246
1184216889DUNES ANESTHESIA PC
Organization
Durable Medical Equipment & Medical Supplies101 TOWER RD STE 103
DAKOTA DUNES, SD 57049
(605) 217-7246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275885758, enumerated in the NPI registry as an "individual" on October 09, 2012

The provider is located at 101 Tower Rd Ste 103 Dakota Dunes, Sd 57049 and the phone number is (605) 217-7246

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 13 years of experience.

The provider might be accepting Accepts: Avera Health Plans, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.26 with an average copayment of $22.06 for new patient appointments. Established patients should expect a typical charge of $102.4 and an average copayment of 25.6. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Injection, dexamethasone sodium phosphate, 1 mg and Aspiration and/or injection of large joint or joint capsule.

The practitioner is affiliated to the following hospital(s): AVERA SACRED HEART HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 09, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.