BRANDI LEANN GJONI CNP
NPI 1326598046
Nurse Practitioner in Sioux Falls, SD

Active since October 05, 2016PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1301 W 18TH ST, SIOUX FALLS, SD 57105(605) 312-2251 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2022, Sep 30, 2022 (2 updates tracked since 2022).

About Brandi Leann Gjoni Cnp NPPES

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

BRANDI LEANN GJONI CNP (NPI 1326598046) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001136) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1326598046
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRANDI LEANN GJONICredential: CNP
Location Address1301 W 18TH STSioux Falls, SD 57105-0401
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 312-2251
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 5, 2016
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
NPI 1326598046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SD · CP001136
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP001136 (SD)
1301 W 18TH ST, Sioux Falls, SD 57105

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

Brandi Leann Gjoni 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 ID5799065645
PECOS Enrollment IDI20161209001948
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.
94 services87 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241347
Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine County
Emergency services

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

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

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

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.

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 20

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

Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Physician Assistant
1301 W 18TH ST
SIOUX FALLS, SD 57105
Physician Assistant
1301 W 18TH ST
SIOUX FALLS, SD 57105

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 Brandi Gjoni's NPI number?

The NPI number for Brandi Gjoni is 1326598046. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Brandi Gjoni located?

Brandi Gjoni practices at 1301 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 312-2251.

What is Brandi Gjoni's specialty?

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

Is Brandi Gjoni enrolled in Medicare?

Yes. Brandi Gjoni 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 Brandi Gjoni accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Brandi Gjoni 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 Brandi Gjoni affiliated with any hospitals?

According to CMS data, Brandi Gjoni is affiliated with Sanford Worthington Medical Center, Sanford Canby Medical Center, Sanford Luverne Medical Center, Sanford Usd Medical Center and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Brandi Gjoni was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.