KAYLI JO SIBSON PA-C
NPI 1396263208
Physician Assistant in Sisseton, SD
NPI Status: Active since August 31, 2017
Contact Information
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
Phone: (605) 698-7606
- Individual
- Female
- Years of Experience 9
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About KAYLI SIBSON
This page provides the complete NPI Profile along with additional information for Kayli Sibson, a primary care provider established in Sisseton, South Dakota with a medical specialization in Physician Assistant and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1396263208 assigned on August 2017. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated January 2025.
- NPI
- 1396263208
- Provider Name
- KAYLI JO SIBSON PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 LAKE TRAVERSE DR SISSETON, SD 57262
- Location Phone
- (605) 698-7606
- Mailing Address
- 11012 460TH AVE SISSETON, SD 57262
- Mailing Phone
- (320) 287-3667
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2017
- Last Update Date
- 01-27-2025
- Code Navigator
A primary care provider (PCP) like Kayli Sibson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Secondary Locations
- 301 Flynn Dr
Milbank, SD 57252
(605) 432-4587
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Share - EPO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kayli Sibson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 4587920012
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200129001119
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kayli Sibson is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MILBANK AREA HOSPITAL/AVERA HEALTH | 301 FLYNN DRIVE MILBANK, SD 57252 | (605) 432-4538 | Critical Access Hospitals |
Reviews for KAYLI JO SIBSON PA-C
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 2 | 6 | 3 | 2 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 4 | 6 | 6 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 4 + 6 + 6 + 2 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1396263208 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. EDWARD D GONZALES DDS
Dentist
(Dental Public Health)
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
DR. STELLAR ANONYE ACHAMPONG MD
Pediatrics
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
MS. MARY FRANCIS WOMMER R.T. (R)
Radiologic Technologist
(Radiography)
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
MR. BRIAN E LABELLE MT(ASCP)
Specialist/Technologist, Pathology
(Medical Technologist)
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
MR. DONAVON CLAY LAWRENCE MT
Specialist/Technologist, Pathology
(Medical Technologist)
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
LORI KIM BRAATEN PHARM.D.
Pharmacist
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
MS. CANDACE ADAIR ANDERSON BS,MT(ASCP)
Specialist/Technologist, Other
(Illustration, Medical)
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
RALPH DAVID ERDRICH RN
Registered Nurse
(Administrator)
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
MRS. DOROTHY JEANNE NELSON R.N.
Registered Nurse
(Ambulatory Care)
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
DON KEVIN FISCHER LPN
Licensed Practical Nurse
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
COLLEEN NANCY DONNELL REGISTERED NURSE
Registered Nurse
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
MRS. KRISTI LYNN RICHARDS RN
Registered Nurse
(Ambulatory Care)
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
MRS. JULIE IRENE HEITMANN R.N.
Registered Nurse
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
MS. JAMIE VERONICA GERMAN L.P.N
Licensed Practical Nurse
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
ANNE RENAE NORDQUIST REGISTERED NURSE
Registered Nurse
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
SISSETON WAHPETON HEALTH CARE CENTER
Clinic/Center
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
JODI LUTJENS RN
Registered Nurse
(Community Health)
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
SISSETON WAHPETON OYATE HEALTH CARE CENTER
Clinical Medical Laboratory
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
BRENDA ANN JACKSON
Radiologic Technologist
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
MS. PHYLOMINE W HOULE RN
Registered Nurse
100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 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 Wellmark of South. Please consult your insurance carrier or call the provider to verify.
Kayli Sibson is affiliated with: MILBANK AREA HOSPITAL/AVERA HEALTH.
