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BILLIE JO BAXA PAC
NPI 1346294857
Physician Assistant in Sioux Falls, SD

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
1200 S 7TH AVE, SIOUX FALLS, SD 57105(605) 336-2140(605) 336-1677 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2021, Jun 20, 2019 (2 updates tracked since 2019).

About Billie Jo Baxa Pac NPPES

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

BILLIE JO BAXA PAC (NPI 1346294857) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (0610) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1346294857
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBILLIE JO BAXACredential: PAC
Location Address1200 S 7TH AVESioux Falls, SD 57105-0900
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0900 · (605) 336-2140 · Fax (605) 336-1677
Phone(605) 336-2140
Fax(605) 336-1677
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1346294857 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 · 0610
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.
1200 S 7TH AVE, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.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

Billie Jo Baxa Pac 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 ID1254382765
PECOS Enrollment IDI20060118000858
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services116 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.
65 services50 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services22 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 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
$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.

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.

MICHAEL ELLIOTT M.D.
Pediatrics
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
APRIL MARIE BENINGA DNP, FNP-C
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
RICKY KOOIMA M.D.
Pediatrics
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
ZACHARY MICHAEL WEBER MD
Pediatrics
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-5400
AVERA MCKENNAN
Clinic/Center (Multi-Specialty)
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 782-8307
TRICIA KNUTSON M.D.
Family Medicine
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
MICHAEL STASSEN M.D.
Family Medicine
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
KIMBERLY BARBER
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140

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 Billie Baxa's NPI number?

The NPI number for Billie Baxa is 1346294857. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Billie Baxa located?

Billie Baxa practices at 1200 S 7th Ave, Sioux Falls, SD 57105. The listed phone number is (605) 336-2140.

What is Billie Baxa's specialty?

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

Is Billie Baxa enrolled in Medicare?

Yes. Billie Baxa 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 Billie Baxa accept?

Health plans from Avera Health Plans and Medica list Billie Baxa 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 Billie Baxa affiliated with any hospitals?

According to CMS data, Billie Baxa is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Billie Baxa was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.