JANE LILLIAN KROESE FNP-C
NPI 1396110318
Nurse Practitioner in Sioux Falls, SD

Active since December 02, 2015PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1309 W 17TH ST STE 101, SIOUX FALLS, SD 57104(605) 328-8000 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2020, Dec 2, 2015 (2 updates tracked since 2015).

About Jane Lillian Kroese Fnp-c NPPES

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

JANE LILLIAN KROESE FNP-C (NPI 1396110318) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001834) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and maintains a secondary practice location in Poway.

NPPES Registry Identity

NPI1396110318
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJANE LILLIAN KROESECredential: FNP-C
Location Address1309 W 17TH ST STE 101Sioux Falls, SD 57104-8805
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2015
Enumeration DateDecember 2, 2015
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
NPI 1396110318 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 · CP001834
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.
1309 W 17TH ST STE 101, Sioux Falls, SD 57104

Secondary Practice Location 1

Location 115611 Pomerado RdPoway, CA 92064-2437 · Phone (858) 312-5492

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

Jane Lillian Kroese Fnp-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 ID6608157292
PECOS Enrollment IDI20201204000762
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 8

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services69 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
63 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services32 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
41 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Hospice and Palliative Medicine)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Internal Medicine (Hematology & Oncology)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Physician Assistant
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Internal Medicine (Hospice and Palliative Medicine)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104

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 Jane Kroese's NPI number?

The NPI number for Jane Kroese is 1396110318. It was assigned to this individual provider in the NPPES registry on December 2, 2015.

Where is Jane Kroese located?

Jane Kroese practices at 1309 W 17th St Ste 101, Sioux Falls, SD 57104. The listed phone number is (605) 328-8000.

What is Jane Kroese's specialty?

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

Is Jane Kroese enrolled in Medicare?

Yes. Jane Kroese 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 Jane Kroese accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Jane Kroese 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 Jane Kroese affiliated with any hospitals?

According to CMS data, Jane Kroese is affiliated with Sanford Worthington Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Jane Kroese was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.