MICHELLE RENEE HEALY PA-C
NPI 1285663757
Physician Assistant in Sioux Falls, SD

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1309 W 17TH ST STE 101, SIOUX FALLS, SD 57104(605) 328-8000 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2022, Aug 13, 2020, Sep 17, 2019 (3 updates tracked since 2019).

About Michelle Renee Healy Pa-c NPPES

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

MICHELLE RENEE HEALY PA-C (NPI 1285663757) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (0533) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1285663757
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE RENEE HEALYCredential: PA-C
Location Address1309 W 17TH ST STE 101Sioux Falls, SD 57104-8805
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 18, 20223 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
NPI 1285663757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SD · 0533
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1309 W 17TH ST STE 101, Sioux Falls, SD 57104

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

Michelle Renee Healy Pa-c 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 ID4688687106
PECOS Enrollment IDI20060728000036
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services13 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients

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 57104 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Internal Medicine (Hematology & Oncology)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Pharmacy
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104

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 Michelle Healy's NPI number?

The NPI number for Michelle Healy is 1285663757. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Michelle Healy located?

Michelle Healy practices at 1309 W 17th St Ste 101, Sioux Falls, SD 57104. The listed phone number is (605) 328-8000.

What is Michelle Healy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michelle Healy enrolled in Medicare?

Yes. Michelle Healy 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 Michelle Healy accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Michelle Healy 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 Michelle Healy affiliated with any hospitals?

According to CMS data, Michelle Healy is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Healy was last updated on April 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.