KELLY ROSE WHARTON CNP
NPI 1376216648
Nurse Practitioner - Family in Sioux Falls, SD
About Kelly Rose Wharton Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ROSE WHARTON CNP (NPI 1376216648) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP002085) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Kelly Rose Wharton 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDPhysician 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.
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.
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.
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
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 Kelly Wharton's NPI number?
The NPI number for Kelly Wharton is 1376216648. It was assigned to this individual provider in the NPPES registry on July 31, 2021.
Where is Kelly Wharton located?
Kelly Wharton practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 333-2226.
What is Kelly Wharton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Wharton enrolled in Medicare?
Yes. Kelly Wharton 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 Kelly Wharton accept?
Health plans from Medica, Sanford Health Plan and Security Health Plan list Kelly Wharton 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 Kelly Wharton affiliated with any hospitals?
According to CMS data, Kelly Wharton is affiliated with Sanford Usd Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Wharton was last updated on September 11, 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.
