KATHERINE E ERICSON
NPI 1346723830
Nurse Practitioner in Sioux Falls, SD

Q: What is Katherine Ericson's NPI number?

The NPI number for Katherine Ericson is 1346723830. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Q: What is Katherine Ericson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katherine Ericson was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 11, 2018PECOS EnrolledAccepts Medicare Assignment

90.18/100

CMS Quality Rating

6709 S MINNESOTA AVE STE 205, SIOUX FALLS, SD 57108(605) 271-2700(605) 271-2277 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2019, Sep 11, 2018 (2 updates tracked since 2018).

On this page

About Katherine E Ericson NPPES

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

KATHERINE E ERICSON (NPI 1346723830) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (F07182279) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Hawarden Regional Healthcare, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346723830

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHERINE E ERICSON

Location Address6709 S MINNESOTA AVE STE 205Sioux Falls, SD 57108-2593

Mailing Address6709 S Minnestoa Ave, Ste 205Sioux Falls, SD 57108 · (605) 271-2700 · Fax (605) 271-2277

Phone(605) 271-2700

Fax(605) 271-2277

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 11, 2018

Last NPPES UpdateMay 22, 20192 updates tracked since enumeration

✔ NPI 1346723830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SD · F07182279

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.

6709 S MINNESOTA AVE STE 205, Sioux Falls, SD 57108

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Accepted Insurance

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

Katherine E Ericson 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 ID4284988304

PECOS Enrollment IDI20181108000673, I20181126000266

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.

294 services213 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Hawarden Regional Healthcare

Critical Access Hospitals · Hawarden, IA

OwnershipGovernment - Local

CMS Certification Number161311

Location1111 11th StreetHawarden, IA 51023 · Sioux County

Emergency services

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number430014

Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County

Emergency services Birthing friendly

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

Madison Regional Health System

Critical Access Hospitals · Madison, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431300

Location323 SW 10th StMadison, SD 57042 · Lake County

Emergency services

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431335

Location172 Fourth Street SEHuron, SD 57350 · Beadle County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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.

90.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.69

Improvement Activities

Cost

91.67

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

11 suppliers41 claims41 services$38.22 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers25 claims25 services$104.57 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers17 claims50 services$39.11 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers11 claims65 services$17.53 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers26 claims26 services$63.47 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

12 suppliers36 claims36 services$21.26 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers40 claims195 services$2.53 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

7 suppliers13 claims13 services$13.07 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers35 claims38 services$19.74 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers74 claims74 services$917.11 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

2 suppliers20 claims20 services$257.96 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

4 suppliers110 claims110 services$852.69 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

7 suppliers83 claims83 services$12.56 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers47 claims47 services$6.23 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

7 suppliers72 claims72 services$45.92 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers128 claims128 services$103.53 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers48 claims48 services$35.11 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

9 suppliers39 claims2,700 services$5.11 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

17 suppliers119 claims8,100 services$6.56 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

13 suppliers36 claims8,690 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers19 claims1,896 services$0.07 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

27 suppliers183 claims11,532 services$0.79 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

18 suppliers100 claims525,000 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

34 suppliers223 claims223 services$25.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MARY WUEBBEN WELLNESS

General Practice

6709 S MINNESOTA AVE STE 205
SIOUX FALLS, SD 57108

Lincoln County (605) 271-1020

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 Katherine Ericson's NPI number?

The NPI number for Katherine Ericson is 1346723830. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Katherine Ericson located?

Katherine Ericson practices at 6709 S Minnesota Ave Ste 205, Sioux Falls, SD 57108. The listed phone number is (605) 271-2700.

What is Katherine Ericson's specialty?

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

Is Katherine Ericson enrolled in Medicare?

Yes. Katherine Ericson 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 Katherine Ericson accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Katherine Ericson 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 Katherine Ericson affiliated with any hospitals?

According to CMS data, Katherine Ericson is affiliated with Hawarden Regional Healthcare, Avera St Lukes, Avera Mckennan Hospital & University Health Center, Madison Regional Health System and Huron Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Ericson was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.