1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Physician Assistant
  6. NPI Profile

KACI PARK PA-C
NPI 1376129841
Physician Assistant in Sioux Falls, SD

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
1000 E 23RD ST STE 360, SIOUX FALLS, SD 57105(605) 322-3950 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Jul 7, 2021, Mar 23, 2021 (3 updates tracked since 2021).

About Kaci Park Pa-c NPPES

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

KACI PARK PA-C (NPI 1376129841) is an individual physician assistant in Sioux Falls, South Dakota and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Avera Marshall Regional Medical Ctr, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376129841
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKACI PARKCredential: PA-C
Location Address1000 E 23RD ST STE 360Sioux Falls, SD 57105-2140
Mailing Address1000 E 23rd St Ste 360Sioux Falls, SD 57105-2140 · (605) 322-3950
Phone(605) 322-3950
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2021
Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1376129841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1000 E 23RD ST STE 360, Sioux Falls, SD 57105
Open in Google Maps ↗

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 and accepts Medicare assignment

Kaci Park 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 ID5991107955
PECOS Enrollment IDI20210713002690
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 5

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.
192 services158 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.
38 services37 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
31 services31 patients
Simple complete removal of breast 19303
This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.
23 services23 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 2

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

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

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 4

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

MR. AUSTIN JAY HUBER GC
Genetic Counselor, MS
1000 E 23RD ST STE 360
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3950
NARA TASHJIAN JUDD MD, MBA
Surgery
1000 E 23RD ST STE 360
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3950
TRACI MARIE REDMOND CNP
Nurse Practitioner (Family)
1000 E 23RD ST STE 360
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3950
AVERA MCKENNAN
Surgery
1000 E 23RD ST STE 360
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3950

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 Kaci Park's NPI number?

The NPI number for Kaci Park is 1376129841. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Kaci Park located?

Kaci Park practices at 1000 E 23rd St Ste 360, Sioux Falls, SD 57105. The listed phone number is (605) 322-3950.

What is Kaci Park's specialty?

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

Is Kaci Park enrolled in Medicare?

Yes. Kaci Park 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 Kaci Park 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 Kaci Park 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 Kaci Park affiliated with any hospitals?

According to CMS data, Kaci Park is affiliated with Avera Marshall Regional Medical Ctr and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Kaci Park was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.