KAYLI JO LEVERSON PA-C
NPI 1396263208
Physician Assistant in Sisseton, SD

Active since August 31, 2017PECOS EnrolledAccepts Medicare Assignment
100 LAKE TRAVERSE DR, SISSETON, SD 57262(605) 698-7606 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 14, 2026, Oct 31, 2023, Aug 31, 2017 (3 updates tracked since 2017).

About Kayli Jo Leverson Pa-c NPPES

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

KAYLI JO LEVERSON PA-C (NPI 1396263208) is an individual physician assistant in Sisseton, South Dakota and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milbank, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396263208
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAYLI JO LEVERSONCredential: PA-C
Location Address100 LAKE TRAVERSE DRSisseton, SD 57262-7046
Mailing Address11012 460th AveSisseton, SD 57262-6608 · (320) 287-3667
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 31, 2017
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1396263208 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.

100 LAKE TRAVERSE DR, Sisseton, SD 57262

Secondary Practice Location 1

Location 1301 Flynn DrMilbank, SD 57252-1508 · Phone (605) 432-4587

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

Kayli Jo Leverson 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 ID4587920012
PECOS Enrollment IDI20250306003753
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57262 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims23 services$5.43 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers14 claims14 services$24.18 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 20

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

Dentist (Dental Public Health)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Pediatrics
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Radiologic Technologist (Radiography)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Specialist/Technologist, Pathology (Medical Technologist)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Specialist/Technologist, Pathology (Medical Technologist)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Pharmacist
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Specialist/Technologist, Other (Illustration, Medical)
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Registered Nurse (Administrator)
100 LAKE TRAVERSE DR
SISSETON, SD 57262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396263208, enumerated as an "individual" on August 31, 2017.

The provider is located at 100 LAKE TRAVERSE DR SISSETON, SD 57262 and the phone number is (605) 698-7606.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Avera Health Plans, Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.