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MIKAELA A PENAREDONDO PA-C
NPI 1346589876
Physician Assistant - Medical in Sioux Falls, SD

Active since February 04, 2013PECOS Enrolled
6100 S LOUISE AVE, SIOUX FALLS, SD 57108(605) 504-1000 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2020, Mar 17, 2018, Dec 6, 2017 and 1 more (4 updates tracked since 2017).

About Mikaela A Penaredondo Pa-c NPPES

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

MIKAELA A PENAREDONDO PA-C (NPI 1346589876) is an individual medical provider in Sioux Falls, South Dakota, licensed in South Dakota (1417) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346589876
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMIKAELA A PENAREDONDOCredential: PA-C
Location Address6100 S LOUISE AVESioux Falls, SD 57108-6029
Mailing Address6100 S Louise AveSioux Falls, SD 57108-6029 · (605) 504-1000
Phone(605) 504-1000
Sole ProprietorNo
Enumeration DateFebruary 4, 2013
Last NPPES UpdateJanuary 10, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2024
✔ NPI 1346589876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in SD · 1417✔ Licensed in NE · 1709✔ Licensed in MN · 2069✔ Licensed in MN · 11579
Also ListedPhysician AssistantTaxonomy 363A00000X · License 11579 (MN)
6100 S LOUISE AVE, Sioux Falls, SD 57108
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Other Names 1

Former Name (1)Mikaela A Dierks

Secondary Practice Locations 3

Location 1426 10th StWorthington, MN 56187-2341 · Phone (507) 372-3890 · Fax (507) 372-3891
Location 21216 2nd St SWRochester, MN 55902-1906 · Phone (507) 255-5123
Location 3200 1st St SWRochester, MN 55905-1906 · Phone (507) 284-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikaela A Penaredondo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 11

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

DR. RAZVAN NICOLESCU M.D.
Orthopaedic Surgery (Hand Surgery)
6100 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1000
GAVIN PAUL MARCO MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
6100 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100
MAIA JANAE ROGERS
Physical Therapist
6100 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-2100
MADALYN RAE LIEBL PA-C
Physician Assistant
6100 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1000
MISS NICOLE TAYLER THOMES PA-C
Physician Assistant (Medical)
6100 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1000
KYRA JAE GRAHAM
Specialist/Technologist (Athletic Trainer)
6100 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100
NOAH RICHARD KOTTKE OTD, OTR/L
Occupational Therapist (Hand)
6100 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (952) 831-8742
KELLY N MCKNIGHT PURCELL MD
Orthopaedic Surgery (Hand Surgery)
6100 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1000

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 Mikaela Penaredondo's NPI number?

The NPI number for Mikaela Penaredondo is 1346589876. It was assigned to this individual provider in the NPPES registry on February 4, 2013. The provider is also known as Mikaela A Dierks.

Where is Mikaela Penaredondo located?

Mikaela Penaredondo practices at 6100 S Louise Ave, Sioux Falls, SD 57108. The listed phone number is (605) 504-1000.

What is Mikaela Penaredondo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mikaela Penaredondo enrolled in Medicare?

Yes. Mikaela Penaredondo is registered in the Medicare PECOS enrollment system.

What insurance does Mikaela Penaredondo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Mikaela Penaredondo 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.

When was this NPI record last updated?

The NPPES record for Mikaela Penaredondo was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.